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TRIUMPH-4 and its sibling trials also introduce a new 4 mg maintenance-dose arm that is being tested alongside 9 mg and 12 mg

This is often presented in marketing as an inherent safety advantage over direct GH

this was from good labs out in the Midwest

doi:10.1186/1758-5996-7-S1-A58 196

Dosing guidelines suggest starting at a dose of 1.5 milligrams and gradually increasing to the maintenance dose (the dose found to be most effective in clinical trials) of 25 mg, depending on how the person responds and how strong side effects are