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Chemical Makeup (1)(2)(3) Molecular Formula: Tesamorelin: C 221 H 366 N 72 O 67 S CJC-1295 (Mod GRF 1-29): C 152 H 252 N 44 O 42 Ipamorelin: C 38 H 49 N 9 O 5 Molecular Weight: Tesamorelin: 5136 g/mol CJC-1295 (Mod GRF 1-29): 3367.9 g/mol Ipamorelin: 711.8 g/mol Sequence Tesamorelin: Unk-Tyr-Ala-Asp-Ala-Ile-Phe-Thr-Asn-Ser-Tyr-Arg-Lys-Val-Leu-Gly-Gln-Leu-Ser-Ala-Arg-Lys-Leu-Leu-Gln-Asp-Ile-Met-Ser-Arg-Gln-Gln-Gly-Glu-Ser-Asn-Gln-Glu-Arg-Gly-Ala-Arg-Ala-Arg-Leu-NH2 CJC-1295 (Mod GRF 1-29): L-tyrosyl-D-alanyl-L-alpha-aspartyl-L-alanyl-L-isoleucyl-L-phenylalanyl-L-threonyl-L-glutaminyl-L-seryl-L-tyrosyl-L-arginyl-L-lysyl-L-valyl-L-leucyl-L-alanyl-L-glutaminyl-L-leucyl-L-seryl-L-alanyl-L-arginyl-L-lysyl-L-leucyl-L-leucyl-L-glutaminyl-L-alpha-aspartyl-L-isoleucyl-L-leucyl-L-seryl-L-argininamide Ipamorelin: alpha-methyl-alanyl-L-histidyl-3-(2-naphthyl)-D-alanyl-D-phenylalanyl-L-lysinamide Other Known Titles CJC-1295 (Mod GRF 1-29): CJC 1295 with DAC Ipamorelin: Ipamorelin Acetate Research and Clinical Studies Tesamorelin & CJC-1295 (Mod GRF 1-29) & Ipamorelin Blend and the Pituitary Gland The Tesamorelin & CJC-1295 (Mod GRF 1-29) & Ipamorelin peptide blend appear to exhibit significant interactions with the pituitary gland, seemingly exerting potential impact through specific receptor binding and subsequent modulation of growth hormone (GH) release

Clinicians should engage patients in shared decision-making regarding treatment duration, considering individual response, tolerability, cost, and patient preferences

Diabetes Care (2020) 43:13525

doi: 10.1210/en.2013-1934 193 PanjwaniNMulvihillEELonguetCYustaBCampbellJEBrownTJet al

Regarding thyroid effects: animal studies with GLP-1 receptor agonists have identified C-cell changes in rodents, but the clinical relevance of these findings in humans has not been established