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According to the antagonistic pleiotropy theory, senescence is a conserved mechanism that confers early-life benefits, notably tumor suppression and wound healing, while contributing to age-related decline later in life 132

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As a selective growth hormone (GH) secretagogue, it targets the ghrelin/growth hormone secretagogue receptor (GHS-R1a) to stimulate pulsatile GH release with exceptional specificity and minimal impact on other hormones, such as ACTH, cortisol, prolactin, follicle-stimulating hormone (FSH), luteinizing hormone (LH), or thyroid-stimulating hormone (TSH)