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Common side effects in the central nervous system include: trouble sleeping mild anxiety feeling jittery or irritable Rare side effects include: fatigue extreme anxiety panic attacks mania hallucinations delusions feelings of paranoia Tell your doctor if you have a history of drug or alcohol use disorder

Baseline lab work, such as a metabolic panel, an IGF-1 test, or a hormone panel, is often recommended before starting a cycle and adds to the overall cost

The 4-week titration phases exist because decades of clinical research determined they were necessary

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