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[DOI] [PMC free article] [PubMed] [Google Scholar] 56.Neelakantan H., Wang H

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Factors such as body size, metabolism, potential absorption disorders, and dietary intake can influence the frequency and dosage of the shots

There is no rise in blood sugar, no IGF-1 spike, and no tissue overgrowth at the doses studied

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This metabolic improvement occurs through AMPK pathway activation and increased NAD+-dependent SIRT1 activity, both of which enhance insulin receptor signaling and glucose metabolism