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Absolute contraindications: Known allergy to AOD9604 or its components Pregnancy or breastfeeding (insufficient safety data) Active cancer (theoretical concern about growth effects) Severe kidney or liver disease History of severe allergic reactions to peptides Relative contraindications (require careful consideration): Diabetes or impaired glucose tolerance (closer monitoring needed) Heart disease (though no direct cardiac effects are expected) History of eating disorders Major psychiatric conditions Use of multiple medications (possible interactions) Special populations Elderly subjects: May need closer monitoring Start with lower doses Monitor for dehydration Assess kidney function before starting Subjects with diabetes: Monitor blood glucose closely May need adjustment of diabetes medications Watch for hypoglycemia, especially with fasting protocols Consider dosing after meals rather than fasted Subjects with heart disease: Although AOD9604 doesnt directly affect cardiac function, monitor closely Assess baseline cardiac status Monitor blood pressure and heart rate Consider stress testing if appropriate Safety Monitoring Recommendations Researchers using AOD9604 should apply appropriate safety monitoring

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IGF1 can reduce blood glucose levels and has been used to treat patients with type 1 and 2 diabetes This is a preview of subscription content, access via your institution Access options Subscribe to this journal Receive 12 print issues and online access $189.00 per year only $15.75 per issue Buy this article Purchase on SpringerLink Instant access to the full article PDF

Aged mice (22 months, equivalent to roughly 65 to 70 human years) treated with MOTS-c three times per week doubled their running capacity on treadmill tests