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The downstream effects of enhanced GH secretion include increased production of insulin-like growth factor-1 (IGF-1), which mediates many of growth hormone's anabolic effects

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ACE2 exists either in free soluble form (sACE2) or in bound form immobilized on cell membranes (mACE2) of intestinal, renal, testicular, gall bladder, pulmonary, and cardiovascular (CV) epithelia 291

Further, many of the studies did not have information on the dose, duration of usage, duration of holding GLP-1 agonists, and fasting period prior to the procedure

Lobo B, Loureno D, Giga A, Mendes-Bastos P