Christopher Walker, MD, Urogynecologist at UroGyn Specialists of Florida, Orlando, FL
Sci Rep (2017) 7(1):14076
doi: 10.1016/0304-4165(85)90182-5 27 CozzaGRossettoMBosello-TravainVMaiorinoMRoveriAToppoSet al
A practical way to read the two cadences together: the weekly 5-on/2-off rhythm is a fine-grained pause aimed at short-term receptor sensitivity, while the 812-on / 4-off macro-cycle is the coarse-grained pause aimed at the whole axis
Clinical studies show that circulating Nrg4 levels in obese patients are negatively correlated with adipsin, a factor that promotes adipocyte differentiation and exacerbates lipid accumulation [106], while various exercise modalities, such as moderate-intensity continuous training, circuit resistance training, and high-intensity interval training significantly increase circulating Nrg4 levels, suggesting that it may act as a signaling mediator for exercise between adipose and liver tissues, participating in exercise-mediated improvement of metabolic dysfunction-associated steatotic liver disease (MASLD) [107]