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By mimicking the action of certain triggering molecules and hormones, such as ghrelin, they trigger the body specifically the pituitary gland to produce and release its own natural growth hormones, in a consistent, stable way

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When side effects do occur, they are typically mild and transient

2010 Jun;62(2):199-236

6 Because these compounds are not approved by the US Food and Drug Administration (FDA) for use as tanning agents, there is no formal oversight of their production or distribution