Scratching and picking can also open wounds and increase risk of infection

Reported benefits (per available research): Studied in cell-culture and animal muscle models for activating satellite cells and stimulating both muscle-fiber hypertrophy and hyperplasia (an increase in fiber number), effects attributed to sustained IGF-1 receptor activation rather than direct human testing Explored in preclinical rodent studies of tendon, ligament, and other connective-tissue injury, where researchers report IGF-1 pathway activation appeared to support markers of tissue repair and collagen synthesis Proposed by some peptide researchers to support faster recovery from training-induced muscle stress, based on IGF-1's known role in protein synthesis and cell-survival signaling (PI3K/Akt pathway), though this has not been confirmed in controlled human trials of IGF-1 LR3 itself Known risks and side effects: Hypoglycemia: because the IGF-1 receptor pathway overlaps with insulin signaling, activation can lower blood glucose, with reported effects ranging from shakiness and confusion to, in severe cases, seizure or loss of consciousness Organomegaly and acromegaly-like changes: sustained elevation of IGF-1 signaling has been linked in the broader IGF-1/growth-hormone literature to enlargement of the jaw, hands, feet, heart, and other organs with prolonged exposure Theoretical tumor-growth risk: IGF-1 receptor signaling promotes cell proliferation and inhibits programmed cell death, so researchers have raised concern that elevated IGF-1 activity could theoretically support growth of existing malignant or precancerous cells, though this risk has not been directly established for IGF-1 LR3 in humans Injection-site reactions and an absence of human safety data: no controlled human trials have evaluated IGF-1 LR3's safety, purity, or contamination risk, so dosing accuracy, product quality, and long-term effects in bodybuilding-style use remain unverified Evidence snapshot: No published human clinical trials of IGF-1 LR3 exist

The Problem With Injection Stacking IV or injected NAD can cause: Nausea Flushing Fatigue Headaches GLP-1 medications can cause: Nausea Slowed digestion Appetite suppression Stacking both aggressively increases the chance of side effects
It may increase the risk of low blood sugar, especially if consumed in excess or without food
10.3892/ijo.2010.892 125 RibasA.WolchokJ
Understanding Azelaic Acid Azelaic acid is well-known for its multiple benefits, including its ability to exfoliate the skin, reduce inflammation, and inhibit the proliferation of Propionibacterium acnes, the bacterium responsible for acne