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Symptoms: lightheadedness, shakiness, fatigue, blurred vision Management: Always pair with post-workout carbs (e.g., CLEAN CARBS) and avoid fasted use unless experienced IGF1 induces insulin-like effects, including hypoglycemia, particularly at supraphysiologic doses. LeRoith et al., Diabetes Reviews Injection Site Irritation Repeated injections, especially IM, may cause localized inflammation or discomfort

Limitations of Current Evidence Several significant limitations in the current evidence base warrant acknowledgment: Population Diversity : Most major trials have been conducted in predominantly white, well-resourced populations, potentially limiting generalizability to more diverse demographic groups where obesity prevalence is often highest