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Ipamorelin is studied as a selective ghrelin mimetic it binds the growth-hormone-secretagogue receptor (GHSR-1a), the same receptor the hunger hormone ghrelin uses, and in research settings appears to stimulate GH release with relatively limited effect on other hormones such as cortisol, prolactin, and ACTH

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Pushing past your tolerance window creates exactly the kind of GI mess that makes patients quit the protocol entirely

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