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Besides, cardiomyocytes depend heavily on mitochondrial respiration to gain ATP as an energy source, thus mitochondrial dysfunction is an important cause of cardiomyocyte cell death (Patel and Karch 2020)

Underdosing, overdosing, contamination, and outright fakes have all been documented

That's why it's used as a proactive anti-aging peptide typically in short, repeated cycles a couple of times a year rather than daily forever

Sun HL, Sun BL, Chen DW, Chen Y, Li WW, Xu MY, et al

Studies suggest that animal models exposed to Ipamorelin exhibited a weight gain of approximately 17%, which may be attributed to the peptides possible impact on ghrelin receptors

10.1177/1352458514533400 17 CarveyP