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& Dianov, G

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The lactate shuttle hypothesis further revealed its pivotal roles in oxidative substrate transport and cellular signaling via monocarboxylate transporters (MCTs), leading to its recognition as a potent signaling metabolite, particularly through its receptor GPR81 (6-8)

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PMID 35859180

The most likely explanation is biased agonism: Ipamorelins specific binding conformation shifts signaling toward the somatotroph pathway rather than the corticotroph pathway, even though both cell populations express GHSR-1a