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Produced by the liver in response to GH, it activates the IGF-1R receptor in muscle cells, triggering the PI3K/Akt/mTOR pathway, which stimulates protein synthesis, inhibits proteolysis, and promotes the proliferation of satellite cells (muscle precursors)

While not a miracle solution, when combined with proper nutrition and exercise, it may provide the edge needed to overcome plateaus and enhance recovery

Uh, aspiration essentially means choking or inhaling food

A common clinical observation has been that, as the child gains core strength and increased sensation in the oral-motor pathways, oral stims sometimes become more frequent (and alarm the parent that the child is regressing)