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study showed no significant elevation of cortisol or prolactin even at doses 200 times the effective GH-releasing dose (4)

PMID 30731170

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Cytosolic Ca 2+ entering the mitochondrial matrix through the mitochondrial Ca 2+ uniporter (MCU) stimulates OXPHOS by activating pyruvate dehydrogenase phosphatase, which in turn, increases the activity of pyruvate dehydrogenase complex [21]