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[DOI] [PubMed] [Google Scholar] 30.Agrawal M., Saraf S., Saraf S., Dubey S.K., Puri A., Gupta U., Kesharwani P., Ravichandiran V., Kumar P., Naidu V., et al

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"The growth hormone/IGF-1 axis is an attractive target for preserving muscle mass in cirrhosis, but the liver's dual role as both a GH effector organ and a metabolic clearance site means that any GH-axis intervention must account for the degree of hepatocellular dysfunction," according to the Endocrine Society's position statement on GH in chronic illness (Endocrine Society Clinical Practice Guideline, 2011)

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