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In the CNS, ghrelin stimulates appetite by binding to GHS-R1a receptors located in brain regions such as the ARC, PVN, and DMN [29] [30]
In practice a GP or nurse may administer off-licence by giving a sub-cutaneous (under the skin, SC) injection but it is important to remember that the GP makes their own decision and takes their own accountability and reliability if they go off-licence
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Saxenda (for weight loss) will likely follow, as it uses the same active ingredient
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