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Other side effects Additional reported side effects include: Joint pain and water retention Muscle and joint aches Headaches and nausea Receptor desensitization with prolonged use Potential suppression of natural GH and IGF-1 production Who should avoid IGF-1 LR3 Certain groups should not use IGF-1 LR3: Anyone with active cancer or tumor history Those with severe insulin resistance or diabetes Pregnant or nursing women Anyone under 25 whose growth plates haven't closed Those with existing hormonal imbalances IGF-1 LR3 is not FDA-approved for general medical use and remains primarily a research compound

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Further studies are needed to confirm these higher-risk patients who may benefit from programmed post-transplant interventions including early immunosuppression withdrawal, DLI or new target-directed drugs

Propionyllcarnitine, larginine and niacin in sexual medicine: a nutraceutical approach to erectile dysfunction. Andrologia 44 (2012): 600-604.

Calandrella N, De Seta C, Scarsella G, Risuleo G