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      "text": "Combination of growth hormone and Vykat escalates diabetes risk – DKA and hyperosmolar with risk of fatal outcomes",
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      "text": "As an example, we quote the Division Chief for pediatric endocrinology at a major academic center who treats 20 PWS patients - 'it's a two-hit...that increases your risk...absolutely' - citing multiple fatalities he has seen from DKA, coma, and hyperosmolar...",
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      "text": "Q: 'So, you can get DKA from growth hormone?' A: 'Yeah, from lack of insulin. Diabetes, type 1 diabetes, You're on a second medication that is increasing your sugar while you're on a medication that may be decreasing your insulin...'",
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      "text": "The other thing you have to realize is if you got somebody on diazoxide and you've got somebody on growth hormone... that also is increasing your risk of diabetes. And in DKA in overweight people, you also can get type 2 diabetes and wind up in a different type of ketoacidosis with hyperosmolar problems and coma. I've been here almost 30 years. We've had a couple of deaths from DKA, but we've actually had two from hyperosmolar, type 2's.",
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      "text": "\"It's a two-hit. It's two hits. That increases your risk. Absolutely.\" — Pediatric endocrinologist, division chief at an academic center",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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