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While IGF-1 has important physiological functions, elevated levels carry potential concerns including increased cell proliferation that may support tumor growth in individuals with cancer or pre-cancerous conditions, accelerated aging processes through growth pathway activation, potential cardiovascular effects with chronic elevation, and metabolic consequences including effects on glucose and lipid metabolism

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They are also supported by the finding that long-term administration of recombinant IGF-1 in humans with GH receptor deficiency is associated with decreased fat mass, increased lipolysis, and a faster rate of lipid oxidation (116)