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This 20mg total blend (5mg/5mg per vial) is verified to a minimum purity of 99% per component via independent, lot-specific Janoshik Certificates of Analysis
The Aib substitution (-aminoisobutyric acid) that distinguishes Ipamorelin from other GHRPs is the primary structural determinant of its selectivity reducing interactions with hypothalamic CRH neurons that drive cortisol co-stimulation in less selective GHRPs such as GHRP-2 and Hexarelin
It is logical that improved efficacy can be achieved by combining multiple metabolic actions within a single therapy
A 2015 randomized, controlled trial which compared duloxetine to 1500 mg/day acetyl-L-carnitine (500 mg 3xs/day) for 12 weeks found that both treatments resulted in reduced pain, reduced depressive symptoms and improved quality of life
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