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Caution is also advised in patients with conditions such as asthma, cardiac disease, renal impairment, migraine, or epilepsy, as HCG can lead to fluid retention that may worsen these conditions

More serious risks include elevated blood sugar or insulin resistance, fluid retention, potential tumor stimulation in those with active malignancy, and allergic reactions, which is why Tesamorelin must be prescribed, monitored, and periodically reassessed by a qualified provider