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Current therapeutic strategies of OA are largely concentrated in symptomatic management, such as oral non-steroidal anti-inflammatory drugs (NSAIDs) and intra-articular steroid injections, which only provide temporary relief 3,4

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The most notable finding was that 39 of the 45 (86.6%) PCOS patients were found to be hyperinsulinemic, while only 6 (13.4%) were normoinsulinemic, despite being overweight/obese (Table 2)

Many protocols suggest dosing before bed and avoiding food (especially carbs) for a short window around the dose, since that can blunt the GH pulse