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The depletion can lead to severe neurological complications, megaloblastic anemia , and systemic metabolic dysfunction

IGF-I and -II had actions through the type 1 IGF receptor (IGF1R) demonstrated by Igf1r ko animals with 45% of wild type birth weight and no further effect when crossed with Igf1 ko animals

Children may be given a total of 1 to 5 mg over a period of 2 or more weeks in doses of 100 mcg, then 30 to 50 mcg every 4 weeks for maintenance