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Global Lipids Genetics C, Willer CJ, Schmidt EM, Sengupta S, Peloso GM, Gustafsson S, et al

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Effects of L-carnitine on the pyruvate dehydrogenase complex and carnitine palmitoyl transferase activities in muscle of endurance athletes 36

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This pulsatile pattern preserves the negative feedback loop: when GH and IGF-1 reach adequate levels, somatostatin signals the pituitary to pause secretion (Ishida et al., JCSM Rapid Commun, 2020)

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