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Indeed, studies have reported a rebound weight gain upon discontinuation of the drug, in some cases exceeding the patients baseline weight, further strengthening the case for the multidisciplinary approach described earlier in this article

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IGF-1 is released from IGFBPs by mechanisms involving extracellular matrix (ECM) binding or proteolysis in the linker domain (Schedlich et al., 2000), and 6 (Iosef et al., 2008) contain a nuclear localisation sequence

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