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The peptide does not bind to growth hormone receptors on hepatocytes, does not trigger the JAK/STAT signaling cascade, and therefore does not stimulate IGF-1 synthesis or secretion

In addition to being a product of endogenous synthesis during l-carnitine generation, the present studies reveal that BB is a major product of gut microbiotadependent catabolism of orally ingested l-carnitine in humans, and is an intermediate in TMAO formation from l-carnitine