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The main difference is cost and access: compounded options allow patients without insurance to start treatment immediately

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Many patients experience gastrointestinal side effects during treatment, particularly in the initial weeks, and caffeine can sometimes exacerbate certain symptoms

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Nakamura M, Miyamoto S, Maeda H, Ishii G, Hasebe T, Chiba T, Asaka M, Ochiai A (2005) Matrix metalloproteinase-7 degrades all insulin-like growth factor binding proteins and facilitates insulin-like growth factor bioavailability

Choudhari, M