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Here is the part clinicians most often miss: GH itself has limited direct anabolic effect it is largely a messenger

Int.J Pharm 6-24-2008;358(1-2):224-2 PubMed Choi, B

it also has a hypercoagulatory effect by binding to plasma proteins

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doi: 10.1021/acs.jafc.0c07599 55 RamosA.SantosH