Dosing & Reconstitution Guide Educational guide for reconstitution and daily dosing Standard / Gradual Approach (3 mL = ~1.67 mg/mL) Frequency: Inject once daily subcutaneously, typically at bedtime to align with natural nocturnal GH pulsatility [2] [3]

Dietary management forms the cornerstone of treatment and should be implemented under dietitian supervision: Reduce simple carbohydrates : Avoid refined sugars, white bread, pastries, and sugary beverages that trigger rapid glucose absorption Increase complex carbohydrates : Choose wholegrain products, vegetables, and legumes with lower glycaemic indices Include protein and healthy fats : These macronutrients slow gastric emptying and glucose absorption Eat smaller, frequent meals : 56 small meals daily rather than 3 large meals Avoid liquid calories : Particularly fruit juices and sweetened drinks Limit alcohol : Alcohol inhibits gluconeogenesis and may precipitate hypoglycaemia Pharmacological interventions may be considered when dietary measures prove insufficient
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