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Endogenous GH secretion is already at its lifetime peak during mid-puberty, reaching pulse amplitudes roughly double those seen in healthy adults, driven by rising sex steroids [5]

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However, consult your GP if you experience: Persistent fatigue or malaise Discomfort or fullness in the right upper abdomen Unexplained weight loss Jaundice (yellowing of skin or eyes) Easy bruising or bleeding It is important to note that liver function tests (LFTs) can be normal in NAFLD and do not reliably indicate the severity of liver disease