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At the level of the pituitary, in vitro studies of pituitary cells and in vivo findings in mice harvesting a somatotroph-specific knockout of the insulin receptor have demonstrated that insulin directly suppressed pituitary GH secretion independent of the IGF-I receptor (IGF-IR) ( in vitro studies using the human hepatoma cell line (HuH7) as a model have shown that insulin stimulates GHR protein synthesis and GHR binding of GH in a dose-dependent manner ( in vivo studies based on rodents have shown reduced hepatic GHR expression (32) and GH binding (32, 33) following induction of diabetes, and that insulin treatment facilitated GH binding (33)

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The combination supports not just weight loss but improved overall wellness

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