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Severe abdominal pain, gallbladder symptoms, persistent vomiting, and dehydration require symptom-based review

The nausea tends to be worse in the morning before eating and immediately after meals, while sulfur burps are typically most frequent 1 to 3 hours after eating

Supraphysiological IGF-1 elevations (above the age-adjusted upper limit) may amplify the theoretical prothrombotic concerns described above

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