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For a patient with untreated Cushings disease or on high-dose glucocorticoid therapy, an elevated serum IGF-I may be observed, but levels decrease following remission or cessation of glucocorticoid therapy, respectively
Younger patients have worse symptoms than older patients 3
Materials and Methods Chemicals The methotrexate injectable solution (50 mg/5 ml) was obtained from Mina Pharm Pharmaceuticals located in Cairo, Egypt
Starting low is not being conservative
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