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In addition, under renal dysfunction conditions there are profound changes in renal responses to GH/IGF-I system as well as in the circulating levels of these hormones, despite the limited role of the kidney for removing IGF-I from the circulation (since negligible amounts of the IGFBP-3/ALS/IGF-I ternary complex crosses the glomerular barrier in healthy individuals)[361]

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Acta 149 PaolicchiA.DominiciS.PieriL.MaellaroE.PompellaA