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This recommendation, which has since been updated in the GOLD 2023 Report [29], was based primarily on the evidence available for each mucolytic agent at that time

However, hypoglycemia, seizures, jaw pain, myalgia, edema, headaches, increased liver and kidney mass, and altered liver function among others (Table 2) have been reported after rhIGF-I administration (Sullivan et al., 1998, Williams, McDonald, OSavage et al., 2008, Laron, 1999, Major, Laughlin, Kritz-Silverstein et al., 2010)

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This patient's herbal tea consumption is relevant, but discussing it before understanding his overarching goals for this third visit fails to address his primary underlying concerns
