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The structural rationale for these changes is well-established in peptide biochemistry literature (Francis et al., 1992, Protein Expression and Purification): the modifications reduce binding affinity to IGF-binding proteins (IGFBPs 1 through 6) by approximately 1000-fold compared to native IGF-1, while retaining binding to IGF1R

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Increased ferritin predicts development and severity of acute interstitial lung disease as a complication of dermatomyositis