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It works by mimicking ghrelin , the hunger hormone, and binding to the growth hormone secretagogue receptor (GHS-R1a) without increasing cortisol or prolactin levels like older peptides such as GHRP-6 or GHRP-2

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As direct transdifferentiation is also the primary mode of regeneration in the mammalian vestibular system, its mechanism will be discussed in a later section

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