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[DOI] [PubMed] [Google Scholar] 94.Vermaak I, Hamman JH, Viljoen AM

Its anabolic and growth-promoting effects are largely indirect, primarily via stimulation of hepatic IGF-1 production, whilst its direct metabolic effects, particularly those related to lipid metabolism and adipose tissue regulation, are believed to be mediated by specific domains within the GH molecule itself

(Endocrinology, 2001, N=obese mice and in-vitro assays) confirmed that AOD-9604 stimulates lipolysis and inhibits lipogenesis through mechanisms independent of the GH receptor, meaning it does not drive the IGF-1 surge seen with exogenous GH [1]
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Take the missed dose as soon as you remember, unless its close to your next scheduled injection

Immunoglobulin light chain amyloidosis: 2022 update on diagnosis, prognosis, and treatment
