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Tesamorelin mitigates this through pulsatile release (avoiding the sustained supraphysiological GH levels that direct injection creates), and clinical trials in type 2 diabetic patients showed no significant changes in glucose control
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Meijer, A
B6
VR Van R
258,259 Similarly, in pancreatic cancer, cotreatment with KD and cytotoxic chemotherapy substantially elevates tumor NADH levels, synergistically suppressing tumor growth and tripling survival benefits compared to chemotherapy alone
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