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This risk has not been confirmed in human clinical studies, but TSH monitoring is a standard precautionary practice

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Ramamoorthy SK, Hephziba R

The MGF E-peptide has been shown to significantly increase the proliferative lifespan and delay senescence of satellite cells isolated from neonatal and young adult human muscle, while having attenuated effects in cells from older adults establishing an age-dependent satellite cell responsiveness to MGF that underpins its utility as a sarcopenia and muscle ageing research tool

They do, however, differ from DPP-4 in terms of cellular locations