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Somatropin is the synthetic form of HGH pills for sale that aids in the development of bones and muscles. There are only a handful of states in the country that have legalized it for medical use. The practice has become controversial in recent years, mainly because of concerns about whether it can increase the risk of developing prostate cancer, and whether it causes any real change in hormone levels on a person's body. The law has been a point of contention between the FDA and federal health officials, but some doctors and pharmaceutical companies have supported the program, hoping it will help prevent diseases and promote recovery for patients. "It's something important to have an alternative to opiates," said Dr. David D'Amico, a plastic surgery surgeon with one of Washington state's largest private hospitals affiliated with Kaiser Permanente. As of mid-September, more than 5.2 million people were on Medi-Cal, according to state statistics. The law covers a dozen counties but excludes rural communities that don't have a hospital with adequate medical staff – like Spokane, home to the Spokane Hospital and Clinics, where Dr. William Oehlert, MD, president and chief executive, said he has seen a rise in demand for "alternative care." "It's an alternative to opioids that we need," Oehlert said in an interview. Although many people with long-term health problems can be prescribed low-level doses of the drug, some do have some experience with it and the long term effects. Hepatitis C patients have a 30 percent chance of developing hepatitis from taking the pill, according to the Centers for Disease Control and Prevention. In the long run, though, the effects are minor, and the chances of developing problems related to the pill are smaller than those linked to smoking, drinking alcohol or drugs. But the pill is still considered a painkiller and is considered dangerous, said Michael McPherson, a spokesman for the American Society of Addiction Medicine. If the dose is too small to induce drowsiness, people might be confused or have trouble with the consequences. "It's the kind of thing that can be very difficult to measure accurately and is really dependent on the patient, the doctor, and the setting," McPherson said. The FDA has been concerned about how the pill may have influenced people's views of opioids. Hepatitis C patients who take the pill are still more likely to develop diabetes, high blood pressure, cardiovascular disease, respiratory problems and sleep impairment than patients Related Article: