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Three possibilities: the peptide is degraded (storage failure), the dose is insufficient for your receptor density, or hepatic IGF-1 conversion is impaired

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[DOI] [PubMed] [Google Scholar] 134.Sekhar R.V., McKay S.V., Patel S.G., Guthikonda A.P., Reddy V.T., Balasubramanyam A., Jahoor F

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While many patients tolerate it well, it is important to be aware of potential risks, especially with repeated use