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Adverse Effects Cough dry, persistent (due to bradykinin) Hyperkalemia decreased aldosterone potassium retention Hypotension especially in volume-depleted patients Angioedema rare but life-threatening Teratogenicity contraindicated in pregnancy Renal impairment in bilateral renal artery stenosis 6

Ultrasound becomes the main way to check if the pregnancy is progressing normally and the baby is developing as expected

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In comparison with normal individuals, GH-deficient individuals have reduced lean body mass and muscle strength, both of which increase within 12 months of GH therapy

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