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[DOI] [PMC free article] [PubMed] [Google Scholar] 133.Bachl N., Derman W., Engebretsen L., Goldspink G., Kinzlbauer M., Tschan H., Volpi P., Venter D., Wessner B

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Management strategies: Keep doses at 100 mcg per injection If prolactin-related symptoms emerge, vitamin B6 (P-5-P form, 50-100 mg daily) can help More significant prolactin elevation may require pharmaceutical management with a healthcare provider Consider switching to ipamorelin, which does not significantly elevate prolactin at any dose Water retention and joint effects The elevated GH levels produced by GHRP-6 can cause fluid retention, manifesting as bloating, puffiness (particularly in the face and extremities), and joint stiffness