Insulin-like Growth Factor 1 (IGF-1), also known as Somatomedin C or Mecasermin in its synthetic form, is an endogenous peptide hormone primarily produced in the liver under the stimulation of growth hormone (GH). It belongs to the class of growth factors and plays a crucial role in growth and development. IGF-1 is structurally similar to insulin and is involved in various physiological processes. Researchers have observed that IGF-1 is pivotal in regulating growth and development, particularly in skeletal muscle hypertrophy and atrophy, as well as in glucose metabolism. It has been studied extensively in the context of cancer, particularly colorectal cancer, where it is implicated in glucose metabolism and the Warburg effect. Additionally, IGF-1 is involved in cardiac growth and adaptation to stress, as well as in interactions with gut microbiota that influence host development. IGF-1 exerts its effects through binding to the IGF-1 receptor (IGF-1R), activating intracellular signaling pathways such as PI3K/Akt/mTOR and MAPK/ERK, which are crucial for its anabolic and anti-catabolic effects. The modulation of these pathways influences protein synthesis, glucose uptake, and cell survival. The pharmacokinetic properties of IGF-1 include a circulating half-life of approximately 12-15 hours when bound to IGF-binding proteins, which extend its half-life and bioavailability. IGF-1 is used clinically in specific growth failure conditions and is regulated as a prescription medication. It is also monitored in sports for potential misuse as a performance-enhancing agent, with strict anti-doping regulations in place.