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Because hexarelin is most commonly administered as a subcutaneous injection, it comes with the following risks [18]: Redness, swelling, bruising, or pain at the injection site Risk of infection Accidental injection into a blood vessel If chronically used in larger-than-necessary doses, hexarelin can cause spikes in growth hormone that may result in downstream adverse effects such as joint pain, insulin resistance, and hypertension [19, 20]