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Throughout, providers track IGF-1, metabolic markers, and how you feel and perform, adjusting as needed

Adrenal suppression (rare, but possible with excessive use)

Oligodendrocytes appear to be particularly vulnerable to reactive oxygen species (ROS) and cytokines, such as tumor necrosis factor- (TNF), which induce cell death and prevent the differentiation of oligodendrocyte progenitor cells (OPCs)

3.4 Cytokines and signal pathways Reduced cytokine synthesis, which inhibits T cell and macrophage activity, may be linked to the pathophysiology of CD