change from baseline to week 104 in body weight (in kg), BMI, HbA 1c , fasting plasma glucose, fasting serum insulin, diastolic blood pressure, lipids (total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, very-low-density lipoprotein cholesterol, free fatty acids and triglycerides) and C-reactive protein
IGF-1 signaling is mitogenic and anti-apoptotic both relevant to cancer biology

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Carefully manage the use of diuretics and RAAS blockers (e.g., ACE inhibitors, ARBs)