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It acts by scavenging ROS and preventing their damaging effects [23]

Yes, but insulin co-administration requires precise carbohydrate timing and blood glucose monitoring to avoid severe hypoglycemia, as both compounds activate overlapping pathways IGF-1 through IGF-1R and insulin through IR, with cross-activation occurring at both receptors when either ligand is present at supraphysiological concentrations

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That said, the clinical significance specifically in EDS populations is unknown no studies have directly examined these effects in connective tissue disorders