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REDEFINE-1: adults with obesity, no diabetes Design: 3,417 adults with BMI 30 (or 27 with a comorbidity), without type 2 diabetes, for 68 weeks
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GH then travels to the liver, activating GHR-Jak2-STAT5b signalling, upregulating IGF-1 synthesis (predominantly IGF-1Ea/1Eb splice variants), and inducing hepatic IGFBP-3 and ALS (acid-labile subunit) to form the circulating 150kDa ternary complex that extends IGF-1 half-life to 12-15 hours in the systemic circulation
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