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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

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