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Acknowledgements This research was supported by the Chan Zuckerberg Biohub, a Stanford Diabetes Research Center (SDRC) Pilot grant and the Transdisciplinary Initiative Program (TIP) from the Stanford Maternal & Child Health Research Institute (MCHRI)

All participants received regular lifestyle counselling from a dietitian or qualified health professional to help them adhere to healthful, balanced meals, with a deficit of 500 calories per day and at least 150 minutes of physical activity per week

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Growth hormone production declines by roughly 14% per decade after age 30