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Differential Diagnosis Considered etiologies included: Primary psychiatric disorder Neuroinflammatory or neurodegenerative disease Endocrine dysfunction Chronic infection (Lyme disease, EBV) Chronic inflammatory response syndrome (CIRS) Environmental toxin exposure (including mycotoxins) The acute onset, lack of psychiatric history, and environmental correlation made a primary psychiatric etiology less likely

Choose IGF-1 DES if: You want targeted muscle growth in specific lagging body parts

For others, it might even lead to weight gain or no change at all

It excels at injury recovery, particularly for muscle and soft tissue

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