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Fasting glucose is checked because GH can transiently affect insulin sensitivity, and a patient with prediabetes or undiagnosed metabolic syndrome requires a different clinical conversation

Riluzole is currently the only drug clinically proven to improve survival of ALS patients, but its action is not clearly understood and survival is only extended 23 months, with little functional improvement [15]

Ethics declarations Ethics approval and consent to participate The adult sheep ovaries were collected from an authorized slaughterhouse, and sperm samples were obtained from the Germplasm Bank of the Reproduction Biology Group, which is officially authorized for collecting and storing semen from sheep (ES07RS02OC)

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