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Ongoing studies continue to examine dual-pathway growth hormone stimulation, endocrine regulation, IGF-1 physiology, receptor signaling, and the coordinated biology of the hypothalamic-pituitary axis

The Menopause Society

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10.1002/bies.950170808 138

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Current guidelines lack clarity in regard to these differences and more reliable risk estimates require further investigation (Ushakumari and Sladen 2024)