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Rather than supplying growth hormone from outside, it works upstreamsignaling the pituitary gland to do the job itself

Treat it as historical in vitro data rather than in-human evidence, the original study used cultured cells, not human subjects [16][17]

A 73-year-old woman with a past medical history including coronary artery disease (CAD), prior myocardial infarction (MI), cardiomyopathy, hypertension, obstructive sleep apnea (OSA) on CPAP, gastroesophageal reflux disease (GERD),and a history of pulmonary embolism on apixaban presented to the emergency department with six hours of chest pain