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Unlike AOD-9604 or Tesamorelin both of which relate to the growth hormone pathway in some form MOTS-c originates from an entirely different biological system, which is why its classified as a functionally distinct compound rather than a variant within the same research category

Koffert, J

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P4 plays a pivotal role in triggering polyploidization and the differentiation of the elongated fibroblastic stromal cells into rounded secreting decidual cells, thereby initiating the secretion of stromal factors such as prolactin (PRL) and insulin-like growth factor binding protein 1 (IGFBP1) to establish an immunotolerant and nutrient-rich environment essential for successful embryo implantation and pregnancy maintenance [4, 5]

Moon E, Partonen T, Beaulieu S, Linnaranta O

It appears to be stable in gastric juice unusual for a peptide of this size which has driven interest in oral administration research models