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Intranasal administration of the GHRP hexarelin accelerates growth in short children

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Cases and controls were matched according to age (4 years) and sex in a ratio 1:2, respectively

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Correcting metabolic acidosis with sodium bicarbonate directly inhibits the activation of UPS and autophagy pathways by an acidic environment, reduces branched-chain amino acid breakdown, and creates a favorable internal environment for muscle synthesis (110, 111)

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