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This is because ghrelin receptors are found in the pituitary gland, where they are called growth hormone secretagogue (GHS) receptors
doi: 10.1186/s41747-020-00192-z 228 FarouqiBYahyaouiMAlaouiFMNorazNSekkatSChkiliTet al
Since both stimulate GH through the GHRH receptor, combining them does not provide a fundamentally different mechanism it primarily increases total GH stimulation
They can help determine the best course of action for addressing your B12 levels and overall health
Good care starts with identifying which system is off, and that means looking beyond the obvious hormone already known by name
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