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Furthermore, peripheral insulin resistance triggered by uremia, metabolic acidosis and low-grade inflammation is common in CKD (80), leading to intra-portal hyperinsulinemia, but does not necessarily increase hepatic sensitivity to GH because of the reduced hepatic expression of IGF-I and GHR mRNA (81)

332 Hormonal assessments also offer important information by evaluating the effects of hormonal fluctuations on ligament properties

And finally, the logic trap: Yes, insulin works

In the inner ear, the auditory organ houses mechanosensitive hair cells required for translating sound vibration to electric impulses

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