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This was a pilot study 20 patients, 24 weeks
Ghrelin is secreted predominantly during fasting and is suppressed after meals

Drugs 77:159173 Brenna , Furnes M, Drozdov I, van Beelen GA, Flatberg A, Sandvik A, Zwiggelaar R, Mrvik R, Nordrum I (2013) Kidd MJPo Correction: Relevance of TNBS-Colitis in Rats: A Methodological Study with Endoscopic, Histologic and Transcriptomic Characterization and Correlation to IBD

The same drug can be widely available in one context and difficult to obtain in another
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