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While these issues seem to affect a minority of patients, the financial impact makes them especially frustrating when they occur

Mass Modification of Archived Data: All study folders on the archivist's hard drive were found to have been "modified on or about January 5, 2025, shortly prior to the inspection".11 This mass modification of electronic records immediately before an inspection is a classic indicator of data manipulation (or a clumsy attempt at organization that destroyed the original timestamps)

And the picture painted by the study was not all negative far from it, actually

Sustained supraphysiologic IGF-1 has been associated in epidemiologic studies with modestly increased risk of colon and prostate cancer

Treatment duration and frequency are determined by the healthcare provider based on individual patient requirements