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Because this formula contains niacinamide, a few people might experience a flushing reaction (warmth, redness of the skin) or slight itching, although niacinamide usually does not cause the intense skin flush that niacin (nicotinic acid) does
However, in some other tissues, IGF-I expression appears to be regulated by tissue specific trophic factors, as for example in uterus, where estrogens (and not GH) stimulate IGF-I expression[26], while follicle stimulating hormone is a major IGF-I regulator in ovary[27]
Symptoms may include skin spots, vision troubles, muscle weakness or other neurological symptoms, headaches, and potentially pain or disfigurement of the bones
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