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It seems that IGF-1 doesnt cause cancer but can allow it to progress and spread more quickly

Adding less than 0.5 mL to any vial makes accurate dosing extremely difficult with standard syringes

These immune-mediated events were compounded by intolerable gastrointestinal side effects, including nausea in 59% and vomiting in 37% of participants, along with reports of acute pancreatitis, culminating in a dropout rate of 2634% in Phase 3 trials [65]