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Unlike anabolic steroids that primarily increase the size of existing muscle fibers (hypertrophy), IGF-1 LR3 may also promote hyperplasia the formation of new muscle cells a potential advantage for long-term growth

A commenter that supported the proposal also expressed concern that Medicare GME funding may be used to pay for abortions, in violation of the Hyde Amendment, which generally prohibits the use of Federal funding for abortion except under limited circumstances

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