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The liver responds to GH by producing IGF-1 , and IGF-1 is what actually drives the downstream tissue effects clinicians associate with growth hormone protein synthesis, satellite-cell activation for muscle repair, lipolysis, collagen synthesis, and bone remodeling

Testicular biopsy score counta method for registration of spermatogenesis in human testes: normal values and results in 335 hypogonadal males

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National Heart, Lung and Blood Institute (NHLBI) of the NIH (2007)