Notably, in mice studies, GH secretagogue receptor suppression in adipose tissues protects against obesity and insulin resistance (97), whereas IGF-I increases skeletal muscle insulin sensitivity (98)
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This variability, driven by host genetics and gut microbiome composition, necessitates personalized intervention strategies
Prevalence varies substantially by ancestry null frequencies reach 5060% in some East Asian populations and are approximately 2030% in African-ancestry populations in most published frequency estimates