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The mTOR protein is one of the most important regulatory elements of protein synthesis 53

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Mechanistically, HPE enhanced insulin signaling by increasing the phosphorylation levels of insulin receptor substrate 1 (IRS1), phosphoinositide 3-kinase (PI3K), protein kinase B (AKT), and glucose transporter type 4 (GLUT4) in the liver, thereby activating the IRS1PI3KAKTGLUT4 pathway and improving insulin resistance

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The dominant leg was examined using isokinetics tests