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PMID 4786530

When both receptor families are activated at the same time, several experimental datasets suggest that growth hormone output may rise beyond what is seen with either pathway alone, which is compatible with additive or synergistic coupling at the level of pituitary signaling

Back Seery, C (15 Jan 2019) 'DPP-4 inhibitors (Gliptins)'

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However, regulatory non-compliance is a concern, resulting in inadequate legal controls and inconsistencies in product standardization