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This pulsatile pattern preserves the negative feedback loop: when GH and IGF-1 reach adequate levels, somatostatin signals the pituitary to pause secretion (Ishida et al., JCSM Rapid Commun, 2020)

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10.1016/j.steroids.2015.12.005 107 YangW

Acetyl carnitine is one of the major acylcarnitines produced during the transport of long