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Ipamorelin produced a selective and dose-dependent increase in GH levels with no significant stimulation of ACTH or cortisol, suggesting hypothalamic specificity. Kraemer et al., Journal of Clinical Endocrinology & Metabolism 2

Oral supplements are taken daily, while injection schedules depend on the individuals goals and the healthcare providers recommendations

In a 2007 New England Journal of Medicine Phase III trial of about 412 patients, 2 mg of tesamorelin a day cut visceral fat by roughly 15% over 26 weeks, while the placebo group gained a little

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Even in this more robust state, it's not invincible