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In reaction to AD, astrocytes experience a shift in profile, one that is reactive and pro-inflammatory while losing homeostatic roles thus disrupting BBB integrity, ion and neurotransmitter buffering, and energy metabolism (Liddelow et al., 2017

These cohorts serve as compelling examples of the lack of direct GH counter-regulatory effects on pancreatic -cell insulin secretion, thus implying that circulating insulin exerts its glucose-lowering effects more efficiently in these subjects compared with healthy controls

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For patients: prioritize clinicians who explain sourcing, dosing, risks, and long-term strategies