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Growth Hormone (HGH) Replaces GH directly Bypasses pituitary regulation Can suppress endogenous GH production May raise IGF-1 excessively Higher risk of edema, insulin resistance, and carpal tunnel syndrome Tesamorelin Stimulates the pituitary gland Preserves physiologic pulsatility Maintains feedback control Lower risk of GH excess Improves IGF-1 within normal ranges From a functional medicine standpoint, tesamorelin is a restorative therapy , whereas HGH is a replacement therapy

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