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Ipamorelin is a selective ghrelin receptor agonist that triggers additional GH release without significantly raising cortisol or prolactin, making it one of the gentler GHRPs

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[PubMed: 8134179] 4

Peptides studied for muscle growth tend to act on one or more of these mechanisms either by amplifying growth hormone and IGF-1 output (feeding into mTOR), directly activating IGF-1 receptors on muscle cells (stimulating satellite cell activity), or reducing recovery time between sessions (increasing training frequency)

1% with placebo