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By binding to IGF-1R, IGF-1 can affect metabolism, cell growth (hypertrophy), differentiation and cell division (hyperplasia), prevention of cell death (apoptosis), normal development, and even malignant growth

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Prior to becoming an Orthopedic Surgeon, he was a former All-Conference and Academic All-American linebacker at the University of Nebraska and drafted by the LA Rams before completing medical school and orthopedic surgery training at Harvard