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If weight begins to climb, that does not automatically mean failure
Effects of insulin on IGF-1 receptors in equine lamellar tissue in vitro [PMID: 32818904] Laboratory literature summary: Effects of insulin on IGF-1 receptors in equine lamellar tissue in vitro
The infusion should be paused and the patient assessed rather than assuming the reaction is always benign
Repeat weekly or bi-weekly for a recommended 8-15 session series, then transition to monthly maintenance
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