Ghrelin, an acetylated peptide composed of 28 amino-acids, is an endogenous ligand for the growth hormone secretagogues receptor, GHS-R. Ghrelin is mainly produced by the X/A cells of the oxyntic glands in the stomach and, to a much lesser extent, in hypothalamus, pituitary, adrenal gland, intestine, gonads, heart, T lymphocytes, and monocytes. Ghrelin increases growth hormone secretion independently on and synergistically with somatoliberin.