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Birth weight and umbilical cord concentrations of IGF-1 are associated with each other, but larger fetuses following infusion of IGF-1 are not a consistent finding in animals that are not growth restricted

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At minimum: IGF-1 every 4 weeks, fasting glucose and insulin every 2 weeks initially (monthly once stable), HbA1c every 6 weeks, liver enzymes monthly, and comprehensive metabolic panel quarterly

Some people get a push on a regular basis, such as weekly, and others get them much less often