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[DOI] [PubMed] [Google Scholar] 10.Kaur, M

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Caution is warranted in patients with severe renal impairment, a history of diabetic ketoacidosis, or concurrent use of other serotonergic agents

Its mechanism has always been to increase growth hormone levels by acting as a secretagoguea substance that causes another substance to be secretedrather than as a direct replacement hormone