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We usually start with the basics: hydration, electrolytes, protein, and sleep
The primary underlying pathomechanism is most likely a decreased hepatic GHR expression related to insulin deficiency, resulting in GH-resistance and impaired hepatic IGF-1 synthesis, which stimulates pituitary GH-secretion by a feedback mechanism [188, 189]
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The magic of NAD IV therapy lies in its direct delivery to the bloodstream
