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Consider Alternatives If Who Should Avoid Do not use if You have active cancer or a history of cancer (GH may promote tumor growth) You are pregnant or breastfeeding You have a pituitary tumor or untreated pituitary disorder You have had an allergic reaction to GHRH or its analogs You have uncontrolled diabetes or diabetic retinopathy You have active Cushing's disease or syndrome Use with caution if !You have diabetes (may affect blood sugar regulation) !You are taking insulin or diabetes medications !You have carpal tunnel syndrome (GH may worsen symptoms) !You have a history of joint pain or arthritis !You are over 65 years old (start with lower doses) !You have impaired kidney or liver function Administration How do I use it