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Atherogenic diets can induce NASH and fibrosis, but the exceedingly high levels of cholesterol (12%) and the inclusion of cholic acid differ from the clinical situation and may even improve glucose tolerance and insulin sensitivity [127,128,129]

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What the research shows: Chronic ipamorelin treatment increases the volume density of secretion granules in somatotroph cells and modulates intracellular GH content, demonstrating that sustained dosing produces cumulative pituitary-level changes rather than just transient GH spikes (Jimenez-Reina et al., 2002)