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This receptor activation initiates a signaling cascade that: Amplifies the amplitude and frequency of natural GH pulses Enhances sleep-related GH secretion Synergizes with Growth Hormone-Releasing Hormone (GHRH) to further elevate GH output The result is a physiologic, pulsatile increase in GH , followed by elevated Insulin-like Growth Factor 1 (IGF-1) , which drives muscle growth, recovery, and repair