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These benefits, which are consistent with literature findings [28], and based on unpublished work in our laboratory (a subject of another paper to be published elsewhere), an increase of IGF-1 levels to the high normal range seems to reverse CMD and associated illnesses (Table 1)

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When to adjust your stack Consider modifying your protocol when side effects persist beyond initial adaptation of 1-2 weeks, expected results are not materializing after appropriate timeframe, blood work shows concerning changes, goals shift and current peptides no longer align, or cost becomes unsustainable for the benefits received