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However, it triggers apoptosis in erythroid precursors in the case of cytokine deprivation to prevent expansion of erythroblasts and to control the number of erythrocytes under stress conditions [99]

By mimicking insulin, ALA injections improve glucose metabolism and insulin sensitivity, facilitating the transportation of glucose into cells and reducing fat storage

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Mechanisms: It enhances physiologic GH pulsatility, particularly during sleep cycles, supporting recovery, protein synthesis, and tissue repair without overstimulation or endocrine disruption