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Zang YD, Lai FF, Fu JM, et al

Mandrile G, van Woerden CS, Berchialla P, et al

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Endogenous GH pulse amplitude may dip 10-15% for 5-7 days, but recovery is rapid because receptor desensitization hasn't reached the threshold seen in longer cycles

From a clinical perspective, exposure to anabolicandrogenic steroids should be considered in the differential diagnosis of a wide range of conditions affecting physically active young adults, including cardiomyopathy, arrhythmias, infertility, hepatic dysfunction, mood instability, and unexplained endocrine abnormalities