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Changes in the BBB associated with Alzheimer's disease primarily include endothelial abnormalities such as reactive gliosis, mitochondrial damage, alterations in the extracellular matrix, disrupted tight junctions, and both molecular and functional changes in astrocytes

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Introduction: Direct vs Indirect IGF-1 Pathway Activation Two fundamentally distinct approaches to IGF-1 pathway research have emerged: direct exogenous IGF-1 administration (IGF-1 LR3) and indirect stimulation through growth hormone (HGH), which promotes hepatic IGF-1 synthesis

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