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Changes in serum IGF-1 levels: Both hGH therapy and MK-677 can induce an increase in the levels of insulin-like growth factor-1 (IGF-1), which is the main anabolic mediator of GH's effects

Unbalanced Diets Though rare in dogs fed complete commercial foods, deficiencies can occur in those fed: Home-prepared diets without supplementation Vegan or vegetarian diets (no natural B12) Poor-quality raw diets Meals lacking organ meats or animal products 7