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The accumulation of amphetamines effectively reverses the transporter carrier mechanisms, leading to a massive, non-exocytotic efflux of vesicular dopamine out into the cytosol, where it is subsequently transported into the synaptic cleft (Wimalasena 2011)(see Figure 2 Mechanism B)

Together they produce a stronger, more sustained GH release than either compound alone, without the cortisol and prolactin spikes associated with older compounds like GHRP-2 or GHRP-6

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