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There were no differences among the groups based on the results of muscle strength assessment tests, however, patients BT + performed significantly better the short physical performance battery (SPPB) and had a higher gait speed (p = 0.016 and p = 0.002, respectively)

doi: 10.1038/s41598-020-79186-1 70

Low insulin-like growth factor-1 could also indicate problems in the liver or kidneys as these organs are most responsible for producing it

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Kubo E, Chhunchha B, Singh P, Sasaki H, Singh DP