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There are many possible causes for this condition, including hormonal imbalances, genetic defects, anatomical abnormalities, infections, and certain lifestyle habits such as smoking, alcohol consumption, and stress

The microdose option is best for patients who prefer a guided, gentle ramp-up

It is unsafe in pregnancy or breastfeeding because fetal and infant risk cannot be excluded, and it is barred for anyone with medullary thyroid carcinoma or MEN 2 history

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The liver responds by producing and releasing more of its own endogenous IGF-1