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It works by mimicking the action of ghrelin and binding to the growth hormone secretagogue receptor (GHSR) in the brain, which triggers the pituitary gland to release GH

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Endocrinology 145(6):26532659 Farilla L, Hui H, Bertolotto C, Kang E, Bulotta A, Di Mario U, Perfetti R (2002) Glucagon-like peptide-1 promotes islet cell growth and inhibits apoptosis in Zucker diabetic rats

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