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effects, including nausea, vomiting, and headache ( 19 ). Macimorelin is an orally active ghrelin receptor agonist that is indicated for the diagnosis of AGHD in the United States ( 26 ) and Europe ( 27 ). Macimorelin is well-tolerated; the most frequent
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discriminate with acceptable sensitivity and specificity between healthy children ( 66 ) and GH-deficient patients and limited accessibility (only accessible in Japan) ( 72 ) Macimorelin ≤2.8 First oral GH secretagogue to be approved as a diagnostic
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challenging ( 9 ). Glucagon has also been shown to stimulate copeptin secretion, whereas the ghrelin-receptor agonist, macimorelin, has failed to stimulate copeptin ( 10 ). Arginine infused intravenously is assumed to suppress hypothalamic somatostatin
Developmental Endocrinology Research Group, University of Glasgow, Glasgow, UK
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issues with GHRH, however, an oral macimorelin (growth hormone secretagogue) test could be considered, although this has not been studied in patients with PWS to date. If GHD is confirmed, adult GH replacement therapy as per current UK NICE guidance can