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Ipamorelin is a synthetic pentapeptide that acts as a selective growth hormone secretagogue by mimicking ghrelin at the GH secretagogue receptor [1] [2]

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The peptide, made from human gastric juice, is not approved for clinical use in any country (13)

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Disruption in mitochondrial electron transport and production of ATP results in the intensification of anaerobic metabolism with a secondary accumulation of formate and lactate in tissues and the development of metabolic acidosis with secondary serious systemic complications (Gabay et al

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