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[PubMed Citation] Kao SJ, Wang D, Lin HI, Chen HI

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10.1155/2021/1497449 167 San MartinA.FonceaR.LaurindoF

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If the presence of an initial stressor is prolonged, the HPA axis will become chronically activated and trigger the overproduction of cortisol which, over time, will result in a reduction in cortisol levels (427)

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the endogenous ligand is acyl-ghrelin (the 28-residue peptide with serine-3 octanoylation by the GOAT enzyme)

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