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It is also noteworthy that due to the excess circulating IGFBPs in end-stage renal failure patients on hemodialysis, GH is only approximately 50% efficient in increasing bioactive IGF-I compared with healthy subjects (79)
The takeaway: after reconstitution, you should plan to use the solution within one month or less , ideally sooner, under refrigeration (2-8 C) and avoiding freezing/thawing cycles if possible
This includes long-term trials that test both the effectiveness and safety, to determine side effects and whether certain groups of people may not be able to take it, such as due to other medications or health conditions
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