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While Ipamorelin's human data is limited (primarily PK/PD studies and a discontinued Phase II for postoperative ileus), the dose-dependent acute stimulation aligns with 3-10 fold increases in peak GH, with effects lasting approximately 2-3 hours per administration (PMID: 10496658)

Rich P, Gooderham M, Bachelez H, Goncalves J, Day RM, Chen R, Crowley J (2016) Apremilast, an oral phosphodiesterase 4 inhibitor, in patients with difficult-to-treat nail and scalp psoriasis: results of 2 phase III randomized, controlled trials (ESTEEM 1 and ESTEEM 2)

For example, participants in the trials reported side effects that were generally consistent with previous studies, such as gastrointestinal symptoms, which are one of the main reasons that can lead to discontinuation of the drugs

It is a paradox of overstimulation leading to underperformance

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