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In addition to routine medical management, monitoring of glucose and/or lactate levels has been described in some TBI protocols [5, 11,12,13]

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described the first condition of IGF-I deficiency as a new type of dwarfism indistinguishable from genetic isolated GH deficiency, but with unexpected high serum GH levels[199, 200] and inability to synthesize IGF-I and other related molecules, as IGFBP-3[34, 35, 201]

Many of my patients find it helpful to slightly bend their knee when injecting into the thigh, which naturally relaxes the vastus lateralis muscle