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Ipamorelin works through a different door: it is a selective ghrelin / GHS-R1a agonist that triggers a clean GH pulse with little effect on cortisol or prolactin [4]

Log injection sites and timing

Labwork at that time was notable for an elevated uric acid of 10.6mg/dl (reference range: 3.5 - 8.5 mg/dl.) Out of concern for TLS precipitating hyperuricemia in the setting of a high-grade tumor in addition to starting a new chemotherapy regimen, the patient was additionally given 10mg of rasburicase and started on 300mg of allopurinol daily

Using a zone-based rotation system makes it easy to space out revisits, giving the tissue sufficient time to heal and preventing fibrous buildup