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It is hypothesized that subcutaneously administered siRNAs need to cross connective tissue and capillary and lymphatic endothelial cells to accumulate in circulation

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IGF1R haploinsufficiency leads to elevated IGF-1 levels but a decreased response to it 3

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6 Supportive treatment In addition to medications, the supportive treatment is an important component of treatment for ALS patients, including physical, occupational and speech therapy, nutritional and respiratory therapy, and psychological and palliative treatment