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GF-1 binds to the IGF-1 receptor (IGF1R) on muscle cells, triggering autophosphorylation and activation of the mTOR pathway, which in turn phosphorylates ribosomal protein kinase

doi: 10.1080/00365521.2016.1192678

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Professional liability considerations may differ from those associated with FDA-approved medications, and providers should maintain comprehensive documentation of treatment rationale and patient consent