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IGF-1 promotes cardiac development and improves cardiac output, stroke volume, contractility, and ejection fraction
Syringe dead space: Standard syringes leave a small amount of solution in the needle hub after each injection

Was documentation complete and specific

Individual circumstances: While guidelines are in place, a doctor is ultimately responsible for making decisions appropriate for each patient

A diet-derived deficiency can also be easily addressed with a well-formulated dietary supplement
