Ipamorelin produced a selective and dose-dependent increase in GH levels with no significant stimulation of ACTH or cortisol, suggesting hypothalamic specificity. Kraemer et al., Journal of Clinical Endocrinology & Metabolism 2
In a 2007 New England Journal of Medicine Phase III trial of about 412 patients, 2 mg of tesamorelin a day cut visceral fat by roughly 15% over 26 weeks, while the placebo group gained a little
This is partially because they have to maximize every last drop of training and recovery, day in and day out, and also because they are complete, geeked-out devotees of topics like how to build muscle, lose fat, and shape a physique that (whether or not you think a bodybuilder's body is an attractive physique) speaks volumes to their ability to be able to mold the human machine beyond what most folks are able to achieve, and more specifically to be able to intelligently use synthetic hormones and derivatives that help increase muscle recovery, repair joint damage, rejuvenate collagen production, and aid in cellular repair
But its important to note that this likely wont happen naturally, and you may need the help of a licensed physician
Even in this more robust state, it's not invincible