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In murine studies, deletion of the IGF-1R in skeletal muscle resulted in glucose intolerance issues ultimately leading to T2D at an early age, because, although they express insulin receptors, they cannot form hybrid or IGF-1 receptors [162]
Share the STEP trial results and ask whether they'd be open to consulting with a bariatric medicine specialist or endocrinologist
Niacin (vitamin B3) at flush doses (500 mg or more) suppresses free fatty acids acutely, which theoretically could enhance GH release
Too low a homocysteine level, such as 2 or 4 umol/L, can indicate that you are not methylating
Some researchers prefer a peptide injection pen for more precise dosing at higher volumes