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The result is a synergistic GH secretion profile that neither compound achieves in isolation, combining GHRH-receptor-driven cAMP/PKA somatotroph amplification with GHS-R1a-mediated intracellular calcium mobilisation for a physiologically pulsatile, dual-pathway GH response

1 Cardiovascular disease (CVD) is the most prominent cause of morbidity and mortality among patients with T2D

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