Reduce dose if joint pain/swelling, split the dose morning/evening,doing it before bed is like mimicing natural hgh,do shorter cycles.to stop joint pain/swelling reduce the dose and use shit like ibuprofen,for fluid redention,reduce dose,reduce sodium intake,for elevated blood sugar limit carbs and sugars and check blood from time to time ,dont use steroids together with hgh, and check if IGF-1 is on the high end of normal for your age, if it is reduce it alot or stop,check blood pressure ,fasting blood glucose( give solution pls its the check on the right)