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2006 Dec;291(6):E1290-4

[14] If you have any doubts about whether the medication has been stored properly or if it was left at room temperature for an extended time, contact the pharmacy or your healthcare provider for advice

This reduction is attributed to the lipolytic effect of amplified endogenous GH and its tissue-specific differential effect: visceral adipose tissue is more sensitive to GH-induced lipolysis than subcutaneous adipose tissue