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However, it may be treated with injections or nasal sprays of the vitamin

When used concurrently with insulin or insulin secretagogues such as sulfonylureas or meglitinides, the risk of hypoglycemia may be increased, particularly during the initiation of therapy or following dose escalations

GH binds growth-hormone receptors and stimulates the liver and peripheral tissues to release IGF-1 , the main mediator of its growth-promoting effects