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However, certain patterns suggest an underlying condition that needs evaluation: Itching that persists for more than six weeks No visible rash, skin irritation, or obvious cause Itch that is worse at night and disrupts sleep consistently Accompanying symptoms: unexplained weight loss, night sweats, or fatigue Yellowing of the skin or eyes (jaundice) Swelling in the abdomen or legs These combinations, especially itch paired with jaundice or significant unintentional weight loss, can point to lymphoma, liver disease, or other conditions that benefit from early diagnosis

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It is designed to bind GHRH receptors on pituitary somatotroph cells, prompting the body's own pituitary gland to release growth hormone (GH), which in turn raises downstream IGF-1 levels