It follows an inverted-U pattern where doses below 100 mcg per injection produce negligible GH release, doses between 200300 mcg produce robust, reproducible pulses, and doses above 500 mcg per injection do not proportionally increase GH output but do increase the risk of receptor desensitisation over time
Start here References Salehpour S, Nazari L, Hoseini S, Moghaddam PB, Gachkar L
in detail, increased leptin may promote renal fibrosis and glomerulosclerosis, while reduced adiponectin is a determinant of albuminuria development (139)

According to the UK SmPC, the most common side effects include: Nausea (very common, affecting more than 1 in 10 people): Usually most pronounced during the first few weeks of treatment and often diminishes with continued use Diarrhoea (common, affecting up to 1 in 10 people): Typically mild to moderate in severity Vomiting (common): More frequent at higher doses Constipation (common): May occur alongside other gastrointestinal effects Abdominal pain or discomfort (common): Relatively frequent during treatment initiation Decreased appetite (very common): An expected effect related to the medication's action Dyspepsia/indigestion (common): May contribute to discomfort after eating Beyond gastrointestinal effects, other recognised adverse reactions include injection site reactions (redness, itching, or swelling at the subcutaneous injection site), fatigue , and dizziness
10.14218/JCTH.2017.00013 15
[DOI] [PMC free article] [PubMed] [Google Scholar] 37.Blum K, Thanos PK, Gold MS