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Consequently, despite the potential for higher initial blood levels, the inherent physiological immaturity and reduced somatic mass associated with preterm birth mean that these infants have significantly diminished endogenous L-carnitine reserves

Prevents tolerance

Generally, noticeable effects may take several weeks to months

This dual mechanismincreased synthesis combined with decreased breakdownresults in net protein accretion in muscle tissue

Critically, GH itself has limited direct anabolic effect