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It was first described in research as an exercise-mimetic a compound that activates some of the same cellular pathways triggered by physical activity, even in sedentary states

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The CIS20r fatigue scale decreased significantly, and the CIS20r concentration scale was unchanged

Ipamorelin and Hexarelin instead act on the ghrelin receptor (GHS-R1a) in the pituitary and hypothalamus, triggering GH release through a separate pathway

Excessive injection site reactions Persistent or severe injection site reactions warrant investigation