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In contrast, although modern infant formulas are designed to mimic the nutritional composition of breast milk and support infant growth, they may lack certain bioactive components, potentially leading to differences in gut microbiota composition and increased susceptibility to infections and allergies

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Ghrelin — and the synthetic secretagogues that mimic it — does something subtler: it both adds a second push and briefly lifts the somatostatin brake, so the same GHRH signal produces a taller pulse