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also known as MBOAT4), a member of the membrane-bound O -acyltransferase (MBOAT) family, utilizes octanoyl-CoA as a donor to attach octanoic acid to Ser3, converting it into active ghrelin, which is then secreted into the bloodstream (Figure 1) (Gutierrez et al., 2008

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[1] This selectivity, first documented by Raun and colleagues in the landmark 1998 paper that called ipamorelin "the first selective growth hormone secretagogue," remains its defining characteristic in the research literature

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