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This dual-pathway architecture ghrelin-receptor agonists like ipamorelin acting through calcium/IP3 signaling, versus GHRH analogs acting through cAMP has made ipamorelin a frequently used research tool for studying how these two pituitary signaling pathways interact and, in some study designs, potentiate one another

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In a 2023 study investigating GHS-based treatments for neurodegenerative diseases like amyotrophic lateral sclerosis (ALS), hexarelin was one of two GHSs chosen for experimentation