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In a rat model, Liu et al

Dual GH pathway activation through GHRH and ghrelin receptors creates robust, pulsatile growth hormone release that mimics natural physiological patterns for maximum anabolic benefit

10.3389/fimmu.2018.01724 116

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Growth hormone then travels to the liver and other tissues, stimulating the production of insulin like growth factor 1 (IGF-1)

Schaan, B
