Treatment ranges from non-operative management to surgical management including SLAP repair, biceps tenotomy, and biceps tenodesis
This is after its chief, David Kenley, admitted several months ago that there is no proof it had any body-enhancing effects in humans

Research has examined its role in: IGFBP-independent, sustained IGF-1R activation and downstream pathway modelling Myogenic satellite cell proliferation, myotube formation, and skeletal muscle biology PI3K/Akt/mTOR and MAPK/ERK signalling cascade investigations Human pluripotent stem cell (hPSC) and embryonic stem cell (ESC) maintenance culture Mesenchymal stem cell niche biology and self-renewal pathway studies Biopharmaceutical CHO cell culture supplementation and recombinant protein production models Glucose uptake and GLUT4 translocation research in adipocyte models Vascular smooth muscle cell biology and plaque stability research Neuroregeneration, neuron survival, and peripheral nerve research applications models Protein synthesis, cellular hypertrophy, and anti-apoptotic pathway research IGF-1 LR3 and Myogenic Research Animal studies investigate skeletal muscle tissue responses to IGF-1 LR3 administration, with laboratory models measuring satellite cell activation via proliferation markers such as Ki-67, myotube formation and differentiation in vitro, and fibre cross-sectional area changes in mouse models with research focusing on both hypertrophy and hyperplasia pathways

Lyophilized powder before mixing can often be stored at room temperature , though refrigeration extends shelf life
Listed as a prohibited substance by WADA (World Anti-Doping Agency)