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Ipamorelin is a pentapeptide ghrelin mimetic that acts on the GHSR1a receptor, selectively stimulating GH secretion without significantly affecting cortisol, prolactin, or ACTH [4] [7]

196 The use of spironolactone and oral contraceptives has been shown to be more effective than either alone for PCOS-related unwanted hair growth, and is often recommended for treating moderate-to-severe unwanted hair growth, or mild unwanted hair growth that is not sufficiently resolved after six months of treatment with oral contraceptives