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Nature 394 , 897901 (1998)

It plays a central role in the complex interplay between energy metabolism and cell growth ( Under physiological conditions, insulin binding activates a well-defined cascade through IRS, PI3K, and Akt, promoting anabolism and survival

In periodontal inflammation, factors such as low haematocrit, elevated erythrocyte sedimentation rates, and the buildup of senescent red blood cells require macrophages to regulate iron homoeostasis by clearing these aged cells and recycling iron [52]

If your doctor is hesitant, then they should at a minimum comply with the NICE guidelines, meaning an injection every two days until there is no further improvement in symptoms