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Compounding pharmacies do produce rapid-dissolve sublingual tablets and they are sold with a prescription, but the clinical evidence for meaningful IGF-1 elevation through this route is not comparable to injectable therapy

It might especially influence a vascular endothelial growth factor (VEGF), which plays a role in creating new blood vessels

Pellegrino G et al (2018) A comparative study of the neural stem cell niche in the adult hypothalamus of human, mouse, rat and gray mouse lemur (Microcebus murinus)

Your body needs to adjust to having GLP-1 receptor activation at levels far above what your gut naturally produces