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Particularly, IGFBP-1 and IGFBP-3 are upregulated in cancer, while IGFBP-8 and IGFBP-10 (which has lower affinity for IGF-1).49 Thus, whereas 77% of differentially expressed genes were similarly regulated in both renal regeneration and cancer, some genes related to IGF-1 signaling follow divergent molecular pathways in these contexts

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So, they suggest relying just on subjective visual assessment, and cite compiled evidence from patient reports on YouTube, Facebook, etc