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Because physical exercise increases demand on a weakened heart, measures of exercise tolerance are frequently used to monitor the severity of heart failure

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Patients must not self-medicate

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Training typically covers: Correct drawing-up technique and air bubble removal Anatomical injection sites and rotation schedules Aseptic technique and infection prevention Recognition of adverse reactions Proper sharps disposal and waste management Record-keeping and monitoring Ongoing monitoring: Even with home administration, periodic review is essential

Most research focuses on short-term GH release instead of long-term effects [4][6]