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Additional risk factors include malnutrition and malabsorption, which can be affected by chronic conditions such as hepatic, gastrointestinal, and renal disease, sickle cell disease, and alcohol abuse [8, 11]

doi: 10.1136/lupus-2020-000408 12 BoulwareDRPullenMFBangdiwalaASPastickKALofgrenSMOkaforECet al

[DOI] [PubMed] [Google Scholar] 163.Ma J., Peng J., Zhai M

Composed of three crucial amino acids Glutamic acid, Cysteine, and Glycine this peptide plays a vital role in supporting muscle health and combating the damaging effects of free radicals

Attempts to improve linear growth by rhIGF-I treatment has been reported to result in some improvements in a few affected children but not all (134, 135) It is beyond the scope of this chapter to review the overwhelming evidence from cell biology experiments demonstrating the important role of IGFBPs in modulating IGF bioactivity and the role of IGFBP proteases and their actions at the cellular level

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