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[5] [6] If you suspect you're experiencing a side effect from Rybelsus, you can report it through the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk or the Yellow Card app)

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Although IGF-1 can stimulate neurogenesis and promote cognition in short-term, some studies have demonstrated that chronic administration of IGF-1 causes side effects such as accelerated aging, cancer development, and decreased lifespan [80, 81]

You cant get it from another person, but mosquitoes do get it from biting a person who is infected