LR3 is different from mecasermin, the FDA-approved IGF-1 medicine called Increlex. Mecasermin has an indication for growth failure in children with severe primary IGF-1 deficiency, a condition involving very low IGF-1. LR3 is a different, modified molecule; that approval does not extend to it.
Mecasermin has insulin-like effects on blood sugar. The Increlex label warns that severe hypoglycemia, or very low blood sugar, has led to seizures. Mecasermin is contraindicated in children with cancer or a history of cancer, meaning it must not be used in that group. These are mecasermin label facts. LR3 acts on the same signaling system, but its own human risk profile has not been established.
When LR3 becomes available through Promise, it will be dispensed as a compounded medication, which is different from an FDA-approved product. The formulation Promise will offer is not FDA-approved. Compounded medications are not reviewed by the FDA for safety, effectiveness, or quality.
A licensed provider may still prescribe — that decision is between you and your doctor.