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3.2 Study data 3.2.1 Studies with a control group One controlled study comparing polysomnography (PSG) data of children with GHD with age-matched controls found that children with GHD had significantly lower total sleep time, sleep efficiency, movement time, and time spent in rapid eye movement (REM) sleep and stage 2 non-REM sleep, plus a general decrease in electroencephalogram (EEG) arousability ( In another controlled study, a group of seven children with GHD underwent PSG before and after 12 weeks of GH therapy ( The third controlled study included five children with GHD and 10 healthy controls ( 3.2.2 Studies without a control group In a study evaluating GH secretion during sleep in children with short stature, peaks of GH secretion were found to occur primarily during slow-wave and deep sleep ( There were several inconsistencies in the findings of the identified studies

Physician supervision can help manage side effects and adjust the plan when needed

Nevertheless, consistency and quality remain important considerations throughout the evaluation process

Effective but carries risk of sexual side effects (24% of users)

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