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The hypothalamic-pituitary-adrenal and the GH/IGF-I axis are also closely associated, as cortisol is required for physiological GH secretion

Patients should aim to administer tirzepatide on the same day each week (for example, every Monday) to maintain steady therapeutic levels and establish a reliable routine

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GHR is widely expressed in GH target cells, which can combine with GH to activate diverse signal cascades, including mitogenic signaling through Janus kinase (JAKs) signal transducers and activators of transcription (STATs) (Vanderkuur et al., 1997), phosphoinositide-3-kinase (PI3K)/Protein kinase B (PKB or AKT)/mammalian target of rapamycin (mTOR) pathways (Hayashi and Proud, 2007) and phospholipase C (PLC)/Protein kinase C (PKC) ( GHR will further disrupt the normal development of the organism and lead to dwarfism phenotype in a wide array of species (Lin et al., 2018)