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Over time, mutated mtDNA molecules can undergo clonal expansion, and once the mutational burden exceeds a critical threshold—typically 60% and 90% – they produce a biochemical defect in OXPHOS, a concept referred to as the “mtDNA mutational load” (112)

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By reference to citation it is noted that "GHRH plus GHRP-6 (both at saturating dose) is nowadays considered the most potent stimulus of GH secretion in man being able to restore the GH secretion in states associated with chronic blockade of somatotroph activity (as in obesity)...it elicits a near-normal GH discharge in obesity, in patients with hypothyroidism and in patients with type 2 diabetes mellitus." This particular study examined the effects of combined administration of GHRH, immediately followed by GHRP-6 in a group of very old subjects (age higher than 75 yr), as compared with both normal adults (less than 40 yr) and aged subjects (age 46–65 yr)