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Other documented effects include injection site reactions, fatigue, and headache

Excessive and prolonged stimulation of the somatotropic axis could theoretically induce effects similar to acromegaly: fluid retention, arthralgia, carpal tunnel syndrome, insulin resistance, and potentially an increased risk of proliferation of certain IGF-1-sensitive tumor cells

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Flaxseeds (ground): 8 grams of fiber per ounce

GLP-1 receptor activation slows gut motility