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The trade is explicit: the patient gives up the possibility of insurance subsidy, and in exchange gets pricing certainty, no prior-authorization gauntlet, and continuity that does not reset every time an employer renegotiates its formulary
Optimal results occur with consistent use over 3-6 months, as GHs effects are cumulative and require time for tissue remodeling
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P., Dixon, M., Duran, M., Goodman, S
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