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(3) R Mosa, L Huang, Y Wu, C Fung, et al (2017) Hexarelin, a Growth Hormone Secretagogue, Improves Lipid Metabolic Aberrations in Nonobese Insulin-Resistant Male MKR Mice Endocrinology, Volume 158, Issue 10, 1 October 2017, Pages 31743187

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Synthetic HGH directly introduces the hormone, bypassing pituitary function