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It is believed that the mechanism by which Tepezza causes hearing loss and other hearing-related health damage is a result of this drug inhibiting the insulin-like growth factor-1 and the insulin-like growth factor-1 receptor pathway

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Adults and children 12 years of age and older may take 1 tablespoon at a time of this fiber powder, up to three times daily, and children ages 6 to 11 years may take 2 level teaspoons up to three times daily

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