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Iron deficiency anemia deserves separate consideration even if ferritin is technically "normal." Autoimmune conditions, including alopecia areata and lupus, can present with hair loss

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It is not FDA-approved for any use and is not on any FDA bulk-drug-substance compounding list

Cycle Duration and Monitoring Typical cycle: 1224 weeks Monitoring: baseline and 1012 week IGF-1 measurement is the most common biomarker Washout: 48 weeks between cycles is standard practitioner practice Contraindications Active malignancy GH/IGF-1 axis elevation is a theoretical oncogenic concern Diabetes mellitus GH elevates insulin resistance