That's too simple of an explanation, can't give simple answer to complex question.if your igf1 is low there are 2 general causes
1)fake product
2)disappointing genetics
if you get a normal low igf1 from the tests and also a normal(not increase) GH hormone I think it is clear that the product is fake
Assuming the product is good what if one in the past had an igf of 450+ on 5IU and years later has 350/400 on 10IU?
Your answer wouldn't even cover a case like this by a mile.
So I disagree. There are many variables and few are kinda complicated