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Saudi Medical Journal 33 (2): 160166

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Note recent vomiting, diarrhea, illness, vigorous exercise, or major dietary changes because these may affect interpretation

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While hGH has long been viewed as a potential candidate for treating obesity, it can cause side effects such as increases in IGF-1 levels, insulin resistance, and impaired glucose tolerance. By contrast, Fragment 176-191 has no effect on serum IGF-1 levels and no negative effect on carbohydrate metabolism [1]

Furthermore, low expression of HLA molecules and impaired antigen presentation contribute to tumor immune evasion (Liu et al., 2022)