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N Engl J Med 292(19):9859 Ghimire P, Dhamoon AS (2023) Ketoacidosis

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For frequent blood sampling one day ante injectionem (ai) until the sampling at 12 h post injectionem (pi) , cows previously received an indwelling venous catheter (2.4 mm x 200 mm Teflon catheter, Walter Veterinr-Instrumente e.K., Baruth/Mark, Germany) in the contralateral V

If side effects are troublesome, dose adjustments or discontinuation may be considered

Neither should be used without understanding the regulatory landscape, sourcing from verified suppliers, and ideally working with a knowledgeable healthcare provider who can monitor IGF-1 levels and related biomarkers throughout the cycle