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At the site of bacterial infection, the accumulation of metabolic products leads to changes in the local pH value, thereby causing alterations in the acidity or alkalinity of the environment [116]

Disease states of GH excess (e.g., acromegaly) and GH deficiency (GHD) (e.g., congenital isolated GHD) are characterized by increased and decreased GH and IGF-I levels, where the GH/IGF-I relationship is reflected by a primary association (high GH and high IGF-I for acromegaly and low GH and low IGF-I for GHD)

Studies indicate that KD can be used in both short and long terms (231)

As long as youre not experiencing any serious side effects and the drug is effective, you can remain on it for quite some time safely