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FIGURE 9 Discussion Hyperglycemia-induced chronic inflammation and metabolic dysregulation play a crucial role in the micro- and macro-vascular complications of diabetes and are associated with long-term dysfunction of various organs, especially the liver and kidneys ( Despite the benefits of pharmacological therapies, prophylactic approaches such as physical exercise, besides caloric restriction are considered the cornerstone in the management of type 2 diabetes ( Our previous study in GK rat pancreas demonstrated exercise-induced beneficial effects by improving energy metabolism, antioxidant responses and mitochondrial functions, and metabolic adaptation ( via the AMPK/SIRT-1/PPAR- signaling pathways

however, the safety profile of rhGH in children and adults is good Current innovative treatment approaches relate to personalizing conventional rhGH, developing long-acting GH preparations, the prospect of gene therapy, GHGH receptor antagonists and, potentially, new indications Abstract Growth hormone (GH) research and its clinical application for the treatment of growth disorders span more than a century

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Yang Y, Sornaraj P, Borisjuk N, Kovalchuk N, Haefele SM