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IGF-1-LR3 is a modified, longer-acting version of insulin-like growth factor 1 (IGF-1), a peptide associated with the body's natural growth, recovery, and tissue-repair signaling pathways

doi:10.1016/S0140-6736(08)60073-2

Rule out Cushings syndrome if the picture includes progressive central weight gain, easy bruising, proximal muscle weakness, wide purple striae, resistant hypertension, or unexplained osteoporosis