Years ago the old take a shot of GH with insulin and slam carbs was common place but recently everyone is saying to take GH fasted. As I understand it, growth hormone and insulin are antagonist, meaning endogenous growth hormone pulses only when insulin is low which is why GH pulses at night. Even consuming a small amount of glucose will shut off a GH pulse. But how does that apply to exogenous HGH? Are you simply wasting your shot if you consume carbs directly after an injection? I have been doing it that way for months now and getting all the benefits of GH.