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However, it also stimulates cortisol and prolactin release at higher doses effects mediated through the same ghrelin receptor pathway but with less selectivity than ipamorelin, a key distinction in the sermorelin vs CJC-1295 vs ipamorelin comparison

Donath MY, Burcelin R

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"Stable Gastric Pentadecapeptide BPC 157, Robert's Stomach Cytoprotection/Adaptive Cytoprotection/Organoprotection, and Selye's Stress Coping Response." Gut , 2019

[1] [2] [3] [4] In support of energy metabolism, carnitine transports long-chain fatty acids from the cytosol into mitochondria to be oxidized for free energy production, and also participates in removing products of metabolism from cells