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community sources describe keeping fast-acting carbs available Organ growth gut distension and cardiomegaly possible with prolonged, high-dose use Jaw and hand growth subtle acromegaly-like changes with chronic use Cancer risk chronically elevated IGF-1 is associated with increased cancer risk in epidemiological studies Joint pain connective tissue changes, water retention Fatigue/lethargy common, especially initially Injecting before sleep community sources warn against this, as hypoglycemia during sleep is dangerous mg to Units Conversion On a standard 100-unit insulin syringe, each "unit" equals 0.01 mL (so 100 units = 1 mL)

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