they can be exacerbated by lifestyle, stress, and underlying illness
The elevated growth hormone then boosts IGF-1 production in the liver and other tissues, which mediates many of GHs anabolic effects including increased protein synthesis and muscle growth, enhanced lipolysis and fat body function, improved bone density and tissue repair, enhanced collagen synthesis, and better sleep quality and healing
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doi:10.1530/eje.0.1390552 Falutz J, Mamputu JC, Potvin D, et al