Peter Attia· MD
obviously again igf-1 itself is complicated because you don't really know what that means in terms of igf-1 signaling and downstream activity but yeah important i guess for people to understand that just like testosterone is mostly bound to sexual binding globulin there's only a small amount of testosterone that's free it's the same with igf-1 it has these igfbps or binding proteins that bind most of it and therefore total igf is not really completely informative as to what's happening even in terms of the quantity that's there for signaling because it's not the unbound portion of it