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percentiles ranging from the 1st to the 98th centile within our cohort and further cases in the literature ( 2 , 4 , 5 , 6 , 7 , 17 ). No formal assessment of the growth hormone IGF-1 axis is reported. Two girls within our cohort have been followed up
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Department of Neurosurgery, Technical University Munich (TMU), Munich, Germany
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Medizinische Klinik Und Poliklinik III, University Hospital Carl Gustav Carus, Dresden, Germany
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Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK
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. Nevertheless, results have been largely unsatisfactory (reviewed in ( 10 , 11 )). Linsitinib, a dual inhibitor of the insulin-like growth factor 1 receptor (IGF1R) and insulin receptor (IR), is the only targeted drug to have entered a phase III trial for ACC
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fertility issues ( 99 ). Growth hormone influences ovarian function by directly binding to specific receptors and indirectly via insulin growth factor 1 (IGF1). The insulin–IGF1 system affects several ovarian functions including ovulation ( 100 , 101 ). The