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Pediatric GHD patients with coexisting ACTH deficiency should have their glucocorticoid replacement dose carefully adjusted to avoid an inhibitory effect on growth
Oral treatment generally requires four to six weeks before noticeable improvements occur , and compliance is essential for success
This fatigue waxed and waned for the first 2-3 weeks, before experiencing the neurological brightening
PMID: 72 AllanRSWaithmanJBedouiSJonesCMVilladangosJAZhanYet al
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