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Ipamorelin is a prescription version of a substance naturally produced by your body known as a human growth hormone-releasing hormone or growth hormone-releasing factor (GHRH or GHRF)

The incretin analogue D-Ala2GIP reduces plaque load, astrogliosis and oxidative stress in an APP/PS1 mouse model of Alzheimers disease

Because typical early atherosclerotic lesion formation observed in hyperhomocysteinemic animals can be prevented by an antiplatelet therapy with dipyridamole, the authors concluded that platelet-mediated proliferation of smooth muscle cells is a potential cellular mechanism involved in the atherogenicity of hyperhomocysteinemia

In my opinion, its likely a little bit of both

Arteel GE, Briviba K, Sies H