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[7] [29] [30] By inhibiting the conversion of testosterone to DHT, finasteride and other 5-alpha-reductase inhibitors have the ability to cause teratogenesis, specifically abnormalities in the external genitalia of the male fetus (e.g., hypospadias)

For context on what those signs look like and how GH deficiency is evaluated, the article on 7 signs your growth hormone levels may be low covers the clinical picture

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Monitoring: Regular follow-up with healthcare providers is essential to manage any adverse effects and to adjust dosing as needed