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Symptoms: lightheadedness, shakiness, fatigue, blurred vision Management: Always pair with post-workout carbs (e.g., CLEAN CARBS) and avoid fasted use unless experienced IGF1 induces insulin-like effects, including hypoglycemia, particularly at supraphysiologic doses. LeRoith et al., Diabetes Reviews Injection Site Irritation Repeated injections, especially IM, may cause localized inflammation or discomfort