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This creates an opportunity for synergy: GHRH analogs: Increase the number of pituitary cells releasing GH Ipamorelin: Increases the amount of GH released per cell When combined, these complementary mechanisms can produce significantly greater GH release than either peptide alone

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Sustained GHRH-receptor stimulation raises a theoretical concern about pituitary desensitization or feedback suppression, which the published study noted but did not observe within its window