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Conchillo M, De Knegt RJ, Payeras M et al (2005) Insulin-like growth factor I (IGF-I) replacement therapy increases albumin concentration in liver cirrhosis: results of a pilot randomized controlled clinical trial

Oxidative Medicine and Cellular Longevity , 2012, 324832

Because these surgeries bypass the part of the gut where absorption happens, the American Society for Metabolic and Bariatric Surgery notes that lifelong injections are often required