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On-Therapy Monitoring Schedule Weeks 4 and 8: IGF-1, ALT, AST, albumin, fasting glucose, body weight Week 12: Full CMP, IGF-1, HbA1c, PT/INR, Child-Pugh re-score Every 3 months thereafter: IGF-1, liver panel, albumin Target IGF-1 in the mid-normal range for age and sex

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There can be multiple causes that are most likely to contribute to this condition

For example, patients often come in after travel, during cold and flu season, or when they simply feel run down and want extra support

Van Driel (2016)