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At this time, there are no known side effects or precautions
trial, subjects receiving weekly doses of 30 to 60 mcg/kg (roughly 2,000 to 4,000 mcg for an 80 kg adult) showed sustained IGF-1 elevation with no serious adverse events over the study period (Teichman et al., J Clin Endocrinol Metab 2006)
Adipose tissue, or fat, plays a central role
If you miss your dose by a day or two, the standard advice is to take it as soon as you remember
In patients whose esophagus appears normal on endoscopy but who still have symptoms, pH monitoring is particularly important
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