This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology, Subject name: Pharmacology
[{'content': 'Which of the following is/ are side effect/s of growth hormone administration? \nSelect and explain. \nA. Pain at injection site, B. Glucose intolerance, C. Hypothyroidism, D. All the above', 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. is 'd' i.e., All the above Adverse effects of growth hormone* Somatropin and somatrem are recombinant GH analogues.* Somatrem has an additional methionine residue and is more immunogenic than somatropin, but allergic reactions or resistance to treatment are not a problem.* Pain at injection site and lipodystrophy can occur.* Glucose intolerance, hypothyroidism (due to unmasking of TSH deficiencv), salt and water retention, hand stiffiress, myalgias, headache are the possible adverse effects* Rise in intracranial tension occurs in few cases.", 'role': 'assistant'}]