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A 2018 meta-analysis of ghrelin-mimetic peptides in metabolic syndrome patients found no statistically significant change in ALT or AST across 12-week treatment periods

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doi: 10.1164/rccm.201005-0756OC 72 HaworthCSFowerakerJEWilkinsonPKenyonRFBiltonD

Based on the result they concluded that secretin extracts helped to lower blood glucose levels by encouraging the pancreas to secrete insulin (Zunz, La Barre