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Before prescribing, providers need to consider the whole patient, including the childs physical and emotional health and the environment they live in, says Sarah Hampl, MD, a coauthor of the AAP guidelines, pediatrician at Childrens Mercy Kansas City, and professor of pediatrics at University of Missouri-Kansas City School of Medicine

Parker ED, Lin J, Mahoney T, et al

These effects are attributed to the body actions of growth hormone and IGF-1 on many tissues

Other, less common side effects include flushing and headache.

Sustained GH elevation therefore carries a theoretical risk of insulin resistance and higher fasting glucose, which is particularly relevant for people with, or at risk of, type 2 diabetes