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Nucleic Acids Res 37, D963D968, doi: 10.1093/nar/gkn655 (2009)

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It acts through a different pathway the ghrelin receptor amplifying the GH pulse and making the pituitary more responsive to GHRH signals

Your medical provider may prescribe you a three month dose of hydroquinone, then switch you to other medications like azelaic acid or tretinoin to maintain your results