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Serum levels of IGF-1 are also modulated by Prolactin, placental lactogen, thyroid hormones and steroids, which act, at least in part, by influencing growth hormone levels

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Mbarek, H., et al

After four months of therapy, IGF-1 levels rose from the lower limit of the reference range (98mcg/l) to its upper limit (323mcg/l) [12]