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Instead, they fall into the titration camp

BBC Radio 1

By mimicking ghrelin, ipamorelin selectively binds the same GHSR-1a receptor as GHRP-2, GHRP-6, and ibutamoren (1)

I found the reference to stiffness and muscle pain in undertreated B12 deficiency....it's in the pinned posts to the right on the home screen (sorry, foggy so can't remember precisely which one - but it's there if you want to have a search)