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doi: 10.1007/s11606-019-05486-6

Unlike broader-spectrum GHSs, ipamorelin targets the growth hormone secretagogue receptor (GHSR) with high specificity, with preclinical models showing minimal impact on ACTH or cortisol [peptidedosages.com]

These may include digestive dysfunction, reduced appetite, increased physiological demand, medication related nutrient considerations, dietary restrictions, inflammation, stress, or difficulty maintaining consistent nourishment during periods of flare or fatigue