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At Balanced, every TRT patient has comprehensive lab work before starting, regular follow-up panels every 3–6 months, and ongoing dose adjustments based on objective biomarkers — not guesswork

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This delay is likely due to the time required for subsequent increases in renal IGF-1 levels, suggesting that locally produced IGF-1 may play a crucial role as a mediator of GH's renal effects.14 Of note, IGF-1 injection alone is sufficient to induce renal actions in animals with pituitary gland ablation, further supporting the importance of IGF-1 in this context.15,16 Additionally, IGF-1 administration led to an increase in GFR in healthy volunteers while simultaneously decreasing GH levels and insulin secretion