Mechanism

Ghrelin receptor signalling

Activation of the growth hormone secretagogue receptor type 1a can stimulate pituitary growth hormone release and may also influence appetite, gastrointestinal function and neuroendocrine signalling.

Use for ipamorelin, GHRP-2 and related growth hormone secretagogues.
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Biological pathway

GHS-R1a agonism → Gq-linked intracellular signalling in hypothalamic and pituitary cells → growth hormone secretion, with ligand-specific effects on appetite and other hormones.

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Evidence summary

Human pharmacology supports growth hormone release after several synthetic secretagogues, although clinical outcome evidence is limited and molecule-specific.

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Limitations

Acute hormone responses do not establish improvements in body composition, recovery or long-term health. Some agonists also affect appetite, ACTH, cortisol or prolactin.
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Peptides linked to this mechanism

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