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Ring et al., 1995)

64 Insulin or insulin-like growth factors (IGFs) in the blood bind to insulin receptors on BBB endothelial cells, triggering internalization after receptor-mediated endocytosis

Of these, 63% in arm 1 and 85% in arm 2 were offered at minimum a VCTE referral (p 15)

Kalebic) and HSV-I (Nucci, Palamara, 1995) and influenza (Cai)

What patients do report, typically transiently, includes: Injection site reaction: Brief redness or mild soreness where the needle entered, usually resolving within hours