Can we add anti aggregation excipients ourselves?
TLDR no, it's not practical for us, or even UGL to do this properly (UGL should just copy a pharma formula).
There's a study I posted months ago that walked through the process of a company developing a new formulation of growth hormone.
They spent a year testing the impact of numerous excipients, then various combinations, to determine what was the best for the particular condition (a new type of injector) it would be delivered in.
The bottom line was that every excipient was a mix of helpful and harmful characteristics, and had to be carefully balanced to come up with a formula that didn't cause too much initial damage to the growth hormone, while preventing it from aggregating to the greatest degree possible over its shelf life, and the less than ideal conditions once in the hands of a patient (left out of refrigerator, shaken too much etc).
I suspect QSC dropped all excipients from their HGH except mannitol once they realized that even though it would keep the HGH in better condition, it cost them on "purity" tests, which they knew is all most people look at. No one was measuring aggregate formation 5 days after reconstitution.
These formulations not only have to pass FDA approval, but they're monitored once they're in the market to ensure aggregation doesn't get worse than the company says it will at any time up to its expiration date, so it's done with great care. By the way, in these applications sent to the FDA for approval, every type of aggregate expected to form in a particular peptide/protein has to be specifically identified ("aggregate characterization") and justified as not being dangerous. Something that doesn't happen with UGL, which is why it's safer to remove them.
All we can do is minimize the conditions we know worsens aggregation. Keep refrigerated, Avoid agitation, bubbles and foaming. Keep as dilute a concentration as is practical. Use smaller dosed vials as much as is practical since time is a factor in aggregation growth. If you're really dedicated you can check PH and adjust it to ensure it's between 6.5-7.5. Low PH speeds up HGH aggregation 10x or more.
And finally, you can simply filter so whatever does form is removed to the greatest extent possible. Large aggregates are inactive, at best, anyway, and depending on what they are exactly (fibrils, amorphous with epitopes that resemble natural hormones), have the potential to cause harm, especially given the large amount of cumulative exposure from a long term daily use drug like HGH.