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      "text": "It's a two-hit. It's two hits. That increases your risk. Absolutely.",
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      "text": "Growth hormone + Vykat magnifies risk; diabetic ketoacidosis – “we’ve had a couple of deaths from DKA”",
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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": "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... I've been here almost 30 years. We've had a couple of deaths from DKA...",
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      "text": "\"if you got somebody on diazoxide and you've got somebody on growth hormone... that also is increasing your risk of diabetes...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...we've had a couple of deaths from DKA, but we've actually had two from hyperosmolar, type 2's...you're on a second medication that is increasing your sugar while you're on a medication that may be decreasing your insulin...and if you get DKA in type 2, there's a subset that gets something called hyperosmolar...it's bad and very, very difficult to treat...it has a relatively high mortality rate....\" — Pediatric endocrinologist, division chief at an academic center",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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      "text": "He stated that most PWS patients are on growth hormone, which also increases blood glucose and magnifies the danger - \"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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