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These interactions can trigger a series of immunoregulatory responses, involving both innate and adaptive immune systems and including cross-presentation of antigens, activation of CD8+ T cells and CD4+ T cells, phagocytosis, complement-mediated antibody-dependent cellular cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC)

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Ipamorelin acts on the ghrelin receptor (GHS-R1a) to amplify GH secretion through a separate intracellular signalling cascade involving phospholipase C and protein kinase C

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