Having something for in vitro use but not clinical use isn't highly subjective. In the case of biologics, like IGF1, the risk of immunogenicity is of high concern is one possible reason as to why this maybe the case.
Ironically enough, that is exactly how testosterone and SHBG work although it's not the tissue itself that determines the time to break the bond. Without SHBG, testosterone would not be able to make it from the testes into general circulation since it's not water soluble. Also, free testosterone only has a half life of roughly 30-100min so SHBG acts as a sort of time release for testosterone.
Cool! I did not know this! It's essentially working as a natural "ester" as we would call it in regards to AAS? Reminds me a lot of adding an ester to slow the release of the compound...