Question

which is a negative effect of using human growth hormone as a performance - enhancing drug?
liver tumors
dehy dration
enlarged heart
high blood pressure

Explanation:

Human growth hormone misuse can lead to various health issues. Enlarged heart is a known negative effect. Liver tumors are more associated with anabolic - steroid use. Dehydration is not a typical direct effect of human growth hormone abuse. High blood pressure is not the most characteristic negative effect compared to an enlarged heart from human growth hormone as a performance - enhancing drug.

Answer:

enlarged heart