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These patients may display subtle metabolic abnormalities insulin resistance, dyslipidemia, or visceral adiposity despite appearing lean. Clinical markers such as waist circumference, hepatic imaging findings, and elevated liver enzymes (ALT/AST) should prompt further evaluation even when BMI is below 25 kg/m

A single sharp exposure is all that is needed to trigger the somatotroph release of pre-formed GH, and the downstream effects persist long after the peptide itself has been cleared

These topics can be included, but they should be presented with clear, evidence-aware language

It encourages new blood vessel formation through angiogenesis

Although promising, these results warrant further research