The ligand-receptor interaction triggers recruitment and autophosphorylation of JAK2 (Janus kinase) at the cytoplasmic domain of the GHR, and the GHR/JAK2 complex subsequently phosphorylates STAT (signal transducer and activator of transcription) molecules (particularly STAT5a, 5b, 1, and 3), which translocate to the nucleus and modify gene transcription leading to significant effects on cell proliferation (Figure 2) ( It is not obvious which hormone or system is more important, as ovarian function can be influenced by systemic GH and IGF, local GH, GH-induced local IGF, and/or GH-independent IGF ( The systemic IGF system is made up of IGF-1 and IGF-2 (56), while higher levels of IGF-2 expression were observed in granulosa cells isolated from large antral follicles ( Analogous to GH, IGF-1 stimulates proliferation and differentiation of granulosa cells and theca cells (57, 58)

Completion of baseline nutritional assessment and screening Prior to GLP-1 initiation, all individuals should undergo medical and nutritional assessment and screening (Table 5) [83]
Eur J Clin Nutr (2006) 60:54552
Novel metabolism of docosahexaenoic acid in neural cells
This results in sustained release, better tissue targeting, stronger mitochondrial protection, and improved redox balance