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Unlike GHRP-2 and GHRP-6, which can elevate cortisol, prolactin, and acetylcholine levels, ipamorelin has been shown in animal studies to have no significant effect on adrenocorticotropic hormone (ACTH), cortisol, follicle-stimulating hormone (FSH), luteinizing hormone (LH), thyroid-stimulating hormone (TSH), or prolactin release

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For a pharmaceutical company, that investment only makes sense if they can patent the compound and recoup costs through exclusive sales

Patients should be counselled about the importance of adherence to their maintenance schedule