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Eating smaller meals and avoiding high-fat foods during the first week at this dose helps considerably

Yes, IGF-1 LR3 is sometimes combined with anabolic steroids in advanced protocols

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Zegarra-Ruiz DF, El Beidaq A, Iiguez AJ et al (2019) A diet-sensitive commensal Lactobacillus strain mediates TLR7-dependent systemic autoimmunity