Adapted from references (1,37) GH binds to the extracellular component of the hepatic GH receptor (GH-R) and induces a series of intracellular processes required for the transcription and translation of specific genes that encode insulin-like growth factor 1 (IGF1), IGF-binding protein 3 (IGFBP3), and an acid-labile subunit (ALS)(810)
10.1016/j.regpep.2009.11.012 72 TurkovicB.SikiricP.SeiwerthS.MiseS.AnicT.PetekM.et al (2004)
Prepare in a sterile environment: The individual administering the injection should use an alcohol swab to clean the injection site and wash their hands thoroughly
No idea if that's actually the cause
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