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There is a possibility that ghrelin interacts with GHRH at the hypothalamic level, since it has been shown that transgenic rats that have a decreased expression of the ghrelin receptor GHSR-1a in the arcuate nucleus of the hypothalamus, where GHRH is produced, show a decrease of GHRH in the neurons that produce it (80)
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For consistency's sake, sirtuin-like enzymes remained defined as Class III
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