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After performing a brief history and exam, the provider administers an injection of 90 mg phytonadione to immediately increase the patients vitamin K levels and help decrease bruising and improve blood clotting

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Insulin Enhancement of GHR Signaling to IGF1 Gene Transcription Insulin signaling enhances the GH signaling pathway to enable IGF-I production in the fed state and promotes linear growth and other anabolic responses (60, 61, 62)

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