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All forms of exogenous IGF-1 are prohibited at all times, and any substance containing any form of exogenous IGF-1 should be considered prohibited

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Amino acid analysis by capillary electrophoresis electrospray ionization mass spectrometry

In fact, the same 2021 systematic review and analysis found that people routinely taking silymarin experienced a significant reduction in their fasting blood sugar levels and HbA1c, a measure of blood sugar control