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It is also noteworthy that due to the excess circulating IGFBPs in end-stage renal failure patients on hemodialysis, GH is only approximately 50% efficient in increasing bioactive IGF-I compared with healthy subjects (79)
So the most important side effect, probably early on, is nausea
Koua, D
These take longer to digest and compound the gastric emptying delay caused by GLP-1 medications
The ones that do appear are smaller
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