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Common causes encompass metabolic disorders like fatty acid oxidation defects and organic acidemias, renal issues such as carnitine loss due to chronic renal failure, Fanconi syndrome, dialysis, or certain medications (e.g., vancomycin), dietary factors including vegetarianism, starvation, or specific diets like the ketogenic diet, and liver diseases such as cirrhosis and fatty liver
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It effectively stimulates GH release but it also raises cortisol (stress hormone), prolactin (reproductive hormone), and aldosterone (blood pressure regulator), and produces intense hunger (ghrelin-like appetite stimulation). For researchers, these off-target effects create experimental noise
doi: 10.1080/1071576021000006581 35 KirlyL.KnstlerA.FattingerM.HllerK.JuhszC.MllerM.et al
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