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[DOI] [PMC free article] [PubMed] [Google Scholar] 4.Van Wagner LB, Rinella ME

PMID 9784083

Ipamorelin is distinguished among GH secretagogues for its high selectivity: it stimulates GH release without significant increases in cortisol, prolactin, or ACTH, preserving pulsatile rhythm

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The net picture is of a hormone that both flips acute switches and remodels the fat cells lipolytic set-point over time
