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How Synthetic HGH Works in the Body When synthetic HGH is injected, it enters the bloodstream directly and raises circulating levels of both growth hormone and IGF-1 (insulin-like growth factor-1), a hormone produced primarily by the liver in response to growth hormone that mediates many of HGHs effects on muscle and tissue growth

If you are taking it, adding an annual B12 test to your routine monitoring is the simple solution