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Today it is available only by prescription, compounded by state-licensed 503A pharmacies or FDA-registered 503B outsourcing facilities, neither of which is independently reviewed or approved by the FDA as a finished drug product, most commonly prescribed off-label for adult GH decline or wellness/anti-aging use

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The test involves lowering blood glucose with the hormone insulin and measuring through blood samples how much cortisol is produced from the adrenal glands in response to that stress on the body