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It is not the only possible explanation, as plateaus happen , but storage should be one of the first things you investigate

Other mechanisms include increased insulin sensitivity [58] and inhibiting lipogenesis [59] as well as increasing the uptake of glucose in the intestine [60] and muscles

Interestingly, in contrast to growth hormone insensitivity (GHI), the IGF-I deficient animals are neurologically impaired, as was also reported in a single patient with a defect in the IGF-I gene[40]

Meanwhile, pharmaceutical companies depend on a system that rewards the enormous investment required to develop FDA-approved medicines otherwise they wont spend the money to develop ground breaking drugs like GLP-1s in the first place