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In clinical studies, Ipamorelin has demonstrated excellent tolerability, even at higher doses, without the hormonal side effects seen in other GH secretagogues. Ghigo et al., Endocrine Legal Status and Testing Concerns Although Ipamorelin is widely used in research settings and peptide clinics, its legal status remains complex and varies depending on the country and context of use

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This is specific to retatrutide and not typically seen with cagrilintide

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