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Acknowledgments The authors would like to acknowledge the use of generative AI technology, specifically Scholar AI, based on OpenAI's GPT-4 architecture, for revising the grammar of this paper

However, despite the considerable body of evidence pointing to a possible relationship between the state of the adipose tissue depots and regulation of the somatotropic axis, to date the relationship between obesity and low GH status remains incompletely understood [18]

Sermorelins body composition effects are real but typically smaller, partly because the GH pulse is briefer and partly because the single-pathway mechanism produces less amplitude than dual activation

Stewart and Fisher, 2015)

Immunofluorescence staining was conducted to assess antioxidant capacity via SOD expression and to evaluate macrophage polarization using CD86 (M1 marker) and CD206 (M2 marker)