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Prescription-only and clinician-directed — this is a hormone drug, NOT a self-administered supplement, and we do not provide a non-medical dosing protocol. For context only: replacement for diagnosed adult GH deficiency is individualized and titrated to a clinical and IGF-1 target, typically starting low (e.g. ~0.2–0.4 mg/day subcutaneously) and adjusted. The anti-aging and athletic doses used illicitly are far higher, illegal, and carry the metabolic, fluid, joint, and organomegaly harms documented here — not a regimen this library endorses.

Before bed

Clinician-prescribed somatropin (subcutaneous injection) for a diagnosed, approved indication — prescription-only hormone drug

• Use without a prescription / without medical supervision — GH is prescription-only and illegal to distribute or use for anti-aging or sport in the US
• Active or suspected malignancy (GH/IGF-1 axis stimulation is a proliferation concern)
• Active proliferative or severe non-proliferative diabetic retinopathy

• Insulin / antidiabetic drugs
• Glucocorticoids
• Oral estrogen / thyroid hormone