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The effects of GH are exerted by binding to the GH receptors on target cells, which in turn stimulates the production and secretion of IGF-1 from many tissues, mainly the liver (155)

The following factors will determine whether you should check your B12 levels: You are above the age of 50

doi: 10.1016/j.arr.2005.02.005 179 MahnA.CastilloA

Ueki T, Kaneda Y, Tsutsui H, Nakanishi K, Sawa Y, Morishita R, Matsumoto K, Nakamura T, Takahashi H, Okamoto E, et al

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Behavioral assessments focused on motor functions, specifically walking stride length analysis and forepaw rope hang time