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All current evidence comes from preclinical animal and cellular studies, meaning its efficacy and safety in people remain unproven

Winslow et al., 2020)

Steroids are known to cause liver issues, but usually only when given at high doses for long periods of time or if the liver was already compromised before starting the medication

Pull a few extra units more than your dose (this ensures you can eliminate bubbles and fine-tune the dose)

Ipamorelin is the amplifier: it opens a second gate so the same GHRH drive translates into a bigger release, while its selectivity keeps cortisol and prolactin largely out of the picture