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85 In conclusion, complex interactions exist between immune cells and mediators in COPD pathogenesis, which regulate the inflammatory response and maintain the immune balance, thereby influencing disease development and progression 86 (Figure 4)

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The article points to baseline growth hormone and IGF-1 levels, fasting glucose, insulin sensitivity, metabolic flexibility, and body composition phenotype

Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 82 Gumi-ro 173beon-gil, Bundang-gu, Seongnam 13620, Korea Tel: +82-31-787-7035, Fax: +82-31-787-4051, E-mail: [email protected] Copyright 2024 Korean Endocrine Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited

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