Firstly, not all patients respond well to oral tablets and, secondly, the tablets prescribed are not guaranteed to be pharmaceutical standard and are instead regulated by the Food Standards Agency
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Then the proverbial excrement hit the fan
IGF-1 availability is tightly regulated by the so-called insulin-like growth factor binding proteins (IGFBPs), which may act by increasing IGF-1 half-life, from minutes to hours (most commonly by forming a tertiary complex with Acid-Labile Subunit and IGFBP3), however blocking its binding to the insulin-like growth factor 1 receptor (IGF-1R) [9395]
Formulated with benzyl alcohol as a preservative, it is designed for multiple-dose withdrawals to safely prepare medications for injection