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IGF-1, fasting insulin, and lipid panels are commonly ordered

Lyophilized GH secretagogues should be stored at -20C, protected from light and humidity

An increase in growth hormone levels has been associated with improved cell proliferation due to telomere shortening and a reduction in cellular death due to a decline in processes such as oxidative stress

however, here too, the durability of results varies, with some recipients enjoying multiyear remission, and potentially a functional cure, while others relapse after a few years.[56, 57] Results also vary between pediatric and adult recipients

[DOI] [PMC free article] [PubMed] [Google Scholar] 179.Marquis K., Debigare R., Lacasse Y., LeBlanc P., Jobin J., Carrier G., Maltais F