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Medical conditions that may explain prolonged fatigue exclude a patient from the diagnosis of CFS, as do a number of psychiatric illnesses such as melancholic depression, bipolar disorder, psychotic disorders, eating disorders, or substance use disorder within two years of the onset of fatigue (Afari and Buchwald 2003)

Quva Pharma Inc ., No

Dohnal, V., Wu, Q

Normal values vary based on age and sex: Ages 0-10: 14-495 ng/mL Ages 11-17: 17-633 ng/mL Ages 18-55: 37-245 ng/mL Ages 55+: 25-232 ng/mL Summary: Doctors typically check IGF-1 status when they suspect growth abnormalities, pituitary dysfunction or malnutrition

Cureus, 17(8), e90021

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