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Hexarelin is considered one of the more potent GHRPs but may also increase prolactin and cortisol levels

[23] [26] Current evidence is insufficient to establish efficacy, optimal dosing, or safety profiles in RA populations without diabetes or obesity

Its also generally not recommended for adults 65 and older, and it shouldnt be taken within 14 days of an MAO inhibitor

British Journal of Haematology , 166(4), 496-513.