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Research indicates that IGF-1 expression is not solely dependent on growth hormone (GH) but is also modulated by factors such as thyroid hormones, sex hormones and nutritional status (19,20)

In several cases of SSMD identified to date, patients presented with a variant in GPX4

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[DOI] [PubMed] [Google Scholar] 52.Deponte M

The effects can last for a few months, depending on your lifestyle and maintenance
