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Andersen J, Urban N, Achimastou A, Ito A, Simic M, Ullom K, et al

In normal physiology, the majority of circulating IGF-1 is bound to IGFBP-3, forming a large ternary complex with the acid-labile subunit that prevents rapid clearance and buffers free IGF-1 within a tightly controlled range

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Your prescribing provider gives you written instructions specific to your vial size and prescribed dose