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IGF-1 induces skeletal muscle hypertrophy through activation of satellite cells and enhanced protein synthesis. Adams, G.R., American Journal of Physiology-Endocrinology and Metabolism 2

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When this happens, the vagina may also get drier because it loses its natural moisture

Analysis of her urine showed an elevated level of trimethylamine, and that a chemically pure free base sample of trimethylamine smelled similar to the patient's fishy odor