 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  the action of growth hormone and by reducing the amount of IGF-I to normal levels. How to use Somavert Vial Read the Patient Information Leaflet and Instructions for Use if available from your pharmacist before you start using pegvisomant and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Inject this medication under the skin as directed by your doctor, usually once daily into the upper arm, upper thigh, stomach area, or buttock. Dosage is based on your medical condition, lab test results, and response to treatment. Do not use more than 30 milligrams daily unless directed by your doctor. The first dose is usually given by a health care professional. If you are giving this medication to yourself at home, learn all preparation and usage instructions from your health care professional. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid. Take your dose out of the refrigerator and let it warm to room temperature. Do not shake the vial when preparing this medication. Gently roll the vial back and forth in your palms to dissolve the powder in the mixing solution. Before injecting each dose, clean the injection site with rubbing alcohol. </s>