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GH stimulates the production of ammonia in canine renal proximal tubule segments, suggesting that it may be a regulator of net acid secretion [76]

Yao M, Tabuchi H, Nagashima Y, Baba M, Nakaigawa N, Ishiguro H, Hamada K, Inayama Y, Kishida T, Hattori K (2005) Gene expression analysis of renal carcinoma: adipose differentiation-related protein as a potential diagnostic and prognostic biomarker for clear-cell renal carcinoma

Its important to note that these symptoms can vary depending on the severity of anemia and the individuals overall health