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These are not theoretical risks - they are documented safety concerns that underscore why the choice between compounded and FDA-approved medications should be made carefully with your prescribing clinician, who can discuss the specific pharmacy and quality assurance protocols involved in your prescription

According to Cohen et al., stimulated levels of GH in infants with PWS were higher compared to older children or adults, suggesting that younger children may have a normal GH pituitary reserve (106)

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