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Direct growth hormone replacement (recombinant HGH) delivers exogenous hormone that bypasses the pituitary gland entirely
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Is there any long-term maintenance needed
Intestinal microorganisms metabolize TML into trimethyl-5-aminovaleric acid (TMAVA), which can competitively inhibit the binding of -BB to BBD, thereby inhibiting carnitine biosynthesis and FAO in the liver, promoting steatosis and aggravating fatty liver [250]
however, information about microbiota is not available in the UK Biobank
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