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GH release in the pituitary is primarily determined by the balance of these two peptides, which in turn is affected by many physiological stimulators (e.g., exercise, nutrition, sleep) and inhibitors (e.g., free fatty acids) of GH secretion
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Brown, E., Cuthbertson, D
As a result, many patients explore alternative access options such as cash-pay programs and telehealth-based prescribing