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Insulin/IGF-1/FoxO signaling and cancer GH, IGF-1 and insulin have cancer-promoting actions and raised serum IGF-1 levels have been associated with increased risk of prostate, breast and colorectal cancers [13]

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This latter patient group is likely comprised of individuals on a standard omnivorous western diet and not on supplemental carnitine

The concern became more prominent as GLP-1 medications gained popularity for weight loss, leading patients and clinicians to ask whether thyroid nodules are a real risk or a theoretical one