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Pegvisomant is a modified version of human GH that has a much higher half-life than GH and acts as a competitive antagonist of the GHR 42, 43

J Endocrinol (2008) 198(2):36774.10.1677/JOE-08-0113 108 WeigertCHennigeAMLehmannRBrodbeckKBaumgartnerFSchableMet alDirect cross-talk of interleukin-6 and insulin signal transduction via insulin receptor substrate-1 in skeletal muscle cells

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Spicy tuna rolls : Vinegared rice, nori, tuna mixed with spicy mayonnaise, and maybe topped with spicy mayonnaise