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In DAPA-HF, the treatment benefit of dapagliflozin 10 mg in reducing the incidence of the primary composite endpoint was consistent in patients with type 2 diabetes mellitus [HR 0.75 (95% CI 0.63, 0.90)], and in patients with type 2 diabetes mellitus and metformin HCl as background therapy [HR 0.67 (95% CI 0.51, 0.88)]
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Impairment of the GH-IGF-1 axis may also result from mutations to wider members of the IGF family including the IGFALS gene, as well as STAT5 defects that affect post-GHR signaling [43,44]