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Ipamorelin is a 5-amino acid peptide that mimics ghrelin, the hunger hormone. It binds to ghrelin receptors (GHS-R) to stimulate a rapid spike in growth hormone release, without affecting cortisol or prolactin levels

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Br J Clin Pharmacol 12:235246 Marathe PH, Wen Y, Norton J, Greene DS, Barbhaiya RH, Wilding IR (2000) Effect of altered gastric emptying and gastrointestinal motility on metformin absorption

However, it is not a given that all spirulina contains cyanotoxins, and theres a range of specific precautions growers can take to avoid cyanotoxins

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