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"Peptides and the pituitary: new insights into GH secretion." Endocrinol Metab Clin North Am
(PubMed) Secades JJ, Alvarez-Sabin J, Castillo J, et al
This might arise early in the pathogenesis of T2DM, as one of many risk factors contributing to the initial onset of hyperglycaemia in susceptible individuals, or later, as a consequence of already existing metabolic changes causing increased DPP-4 activity and further exacerbating the deterioration of glycaemic control