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They're signaling molecules that nudge specific pathways

It was developed as a more stable and potent analog of GHRP-6, designed to interact with the ghrelin receptor (GHS-R1a).[2] Once it binds to GHS-R1a receptors (found in both the hypothalamus and pituitary gland), hexarelin activates phospholipase C (PLC) and inositol triphosphate (IP3) signaling pathways

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AST, ALT: Timing: Generally, AST/ALT dont rise until after about a day

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