Li B, He X, Zhuang M, Niu B, Wu C, Mu H, et al
The honest version: the strong, well-supported explanation is delayed gastric emptying causing food to sit and break down
IGF-1 contains three disulphide bridges, between amino acids 6 and 48, 18 and 61 and 47 and 52, which create the tertiary structure critical for optimum binding to the IGF-1R (Figure 1)
This heat exposure will degrade the medication much faster than the 30 degree Celsius upper limit allows
Keep the original packaging intact until you're ready to use the medication, as the cardboard and internal insulation protect against light exposure and temperature swings
Your provider should assess whether missed doses, medication degradation, or treatment interruptions require dosing adjustments or alternative approaches