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The Endocrine Society explains that the pituitary gland controls growth hormone, and both peptides simply amplify the signal that tells the pituitary to do its work

Going further, there is a working hypothesis amongst researchers that Ipamorelin may interact with, and possibly increase, IGF-I levels

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Rarely, however, MTHFR activity may be so low that it can result in homocystinuria, leading to abnormal blood clotting, brittle bones, nearsightedness, and increased risk of having a child with a neural tube defect

BPC-157 likely follows this pattern, meaning it is metabolized and broken down within a short time frame