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Ipamorelin mimics the hormone ghrelin at the growth hormone secretagogue receptor (GHSR-1a) on pituitary cells, triggering a pulse of growth hormone release
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recommend 2-month washout) Severe gastroparesis or chronic intestinal pseudo-obstruction Active thyroid disease or uncontrolled thyroid dysfunction eGFR sterile compounding standards, but compounding is inherently a different regulatory framework than FDA-approved manufacturing
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