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This allows a licensed provider to determine which treatment is right for you based on your health profile and the current availability of medications

Reduce dose or frequency if: IGF-1 exceeds the age-adjusted upper limit of normal but the patient is asymptomatic Fasting glucose rises 10 to 25 mg/dL from baseline but remains below 126 mg/dL Mild peripheral edema or joint stiffness appears and does not resolve within 2 weeks Systolic blood pressure rises 5 to 10 mmHg from baseline Discontinue CJC-1295 if: Fasting glucose exceeds 126 mg/dL on two consecutive draws IGF-1 remains above the upper limit of normal despite dose reduction New-onset carpal tunnel syndrome does not resolve after 4 weeks at reduced dose Echocardiogram shows new or worsening left ventricular hypertrophy PSA rises more than 0.75 ng/mL (annualized rate) from baseline Discontinuation should be followed by repeat labs at 4 and 8 weeks to confirm normalization

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Ethanol alters the relationship between IGF-1 and bone turnover in research models [PMID: 36194528] Laboratory literature summary: Ethanol alters the relationship between IGF-1 and bone turnover in research models macaques

Pharmacological treatments for fatigue in patients with multiple sclerosis: a systematic review and meta-analysis