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Sandor, A., Pecsuvac, K., Kerner, J., and Alkonyi, I
GH promotes sodium and water retention through effects on the kidney, which can cause a puffy appearance in the face, mild swelling in the extremities, and a temporary increase in body weight that reflects water rather than tissue
PKA then phosphorylates many target proteins that finally lead to increased transcription of the growth hormone gene and release of stored growth hormone from secretory granules
Galvano, F., Li, Volti G., Malaguarnera, M., Avitabile, T., Antic, T., Vacante, M., and Malaguarnera, M
(PubMed) Virtamo J, Taylor PR, Kontto J, et al