2005;288(4):F823-831
The clinical data suggesting a possible association come from post-marketing surveillance data that have substantial risk for bias and do not control for important confounding variables
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The benzyl alcohol acts as a bacteriostatic agent, which means it doesn't necessarily kill all bacteria on contact, but it prevents them from reproducing
This is where it gets important
The great majority of it is held in complexes with IGF binding proteins, principally IGFBP-3, which act as a reservoir and a brake on receptor access
