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Muscle Building & Performance Increases lean mass and strength in resistance-trained adults Enhances muscle protein synthesis rates Improves exercise recovery and adaptation Reduces muscle damage markers post-exercise Tissue Repair & Recovery Accelerates healing of tendons and ligaments Enhances collagen synthesis and deposition Reduces recovery time from musculoskeletal injuries Supports surgical wound healing Metabolic Health Improves glucose disposal in insulin resistance Enhances insulin sensitivity by 34% in prediabetes Supports nutrient partitioning and utilization May reduce cardiovascular risk factors Additional Clinical Applications Important Consideration: All applications of IGF-1 LR3 are considered off-label use

Acknowledgements We acknowledge co-funding from the Fondazione per la Ricerca Biomedica Saverio e Isabella Cianciola and from Next Generation EU, in the context of the National Recovery and Resilience Plan, Investment PE8 Project Age-It: Ageing Well in an Ageing Society

they may even be linked physically in some type of complex, as suggested by the high stereochemical selectivity of the reactions given the instability of the intermediates

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The proportion of bariatric surgery patients with GLP-1 prescriptions before surgery increased consistently, rising 4X from 1.5% in 2018 to 6.4% in 2023 (Figure 2)