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Endocrine Rev 20:876913 Adrian TE, Ferri GL, Bacarese-Hamilton AJ et al

Rather than mimicking GHRH, it activates the second growth hormone release pathway

Both compounds share a proposed mechanism of action and are considered structurally similar

References 1.Baggio L.L., Drucker D.J

(1997): Progressive decrease of cerebral cytochrome C oxidase activity in sparse-fur mice: role of acetyl-L-carnitine in restoring the ammonia-induced cerebral energy depletion