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The difference lies in manufacturing and distribution: brand versions are mass-produced by Novo Nordisk, while compounded versions are prepared by licensed 503A pharmacies

Therefore, given the rarity of suicidal or self-harming behaviors, the limited sample size of the RCT, and the inherent limitations of retrospective studies, comprehensive research with long-term follow-up and rigorous mental health assessments is needed to clarify the potential risks and benefits

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Besides, in non-transformed cells and tissues, GH appears to induce DNA damage