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Trial of intravenous immunoglobulin G, intravenous anti-D, and oral prednisone in childhood acute immune thrombocytopenic purpura. Your doctor may advise you to take drugs called bisphosphonates, or calcium and vitamin D supplements, along with the steroids to help prevent this. Should be avoided unless the benefit outweighs the increased risk of systemic corticosteroid side-effects, in which case patients should be monitored for systemic corticosteroid side-effects. Oral corticosteroids, these side effects may include glaucoma, fluid retention, high blood pressure and weight gain, according to the Mayo Clinic. IGF-1 protein is what ultimately stimulates the growth of bones, muscle, and other tissues.

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