to snoo-finity ... and beyond!
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Honestly, it's something that has confused me for a while. Why is it that GH secretion is stimulated by hypoglycemia? I mean, it's literally called growth hormone (for growth!), and hypoglycemia, which is basically a "starvation" state, will stimulate this hormone?
IGF-1 is regulated by insulin. so it will be decreased because insulin levels are also low.
I found this and it also explains to a more genetic/cellular level. Essentially, it says that starvation induces some factors that cause GH resistance and IGF1 suppression.
Usually on the left because the liver prevents herniation through the right hemidiaphragm
aka congenital diaphragmatic hernia