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Sermorelin is an analogue of growth hormone-releasing hormone (GHRH) and binds to growth hormone-releasing hormone receptors (GHRH-R)
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Common causes include noise exposure, aging (presbycusis), infections (like meningitis), Menieres disease, vascular or autoimmune inner-ear disorders, ototoxic drugs, and acoustic neuromas
Gene-level modulation: Pickart & Margolina 2018 documented activity across ~4,000 human genes, with fibroblast expression patterns shifting closer to younger cells
p43 is constitutively expressed in mitochondria
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