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Factors That May Affect Appropriateness According to general clinical guidance referenced in published sources, growth hormone secretagogues may not be appropriate for individuals with certain contraindications including active malignancies, uncontrolled diabetes, or other conditions that a clinician would evaluate during the prescribing process

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(2007) involved a patient with a long-standing history of bipolar disorder who became floridly psychotic after starting acetyl-L-carnitine supplementation