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Ipamorelin is a synthetic peptide studied for its selective interaction with growth hormone secretagogue receptors (GHSR)
Saraceno et al
Each peptide still acts on its own pathway, the ghrelin and GHRH receptors, even though they are delivered together in the same blend
However, the available evidence strongly suggests that smoking acts as an independent risk factor that exacerbates the severity and progression of chronic viral hepatitis, increasing the risk of advanced fibrosis and cirrhosis, and potentially impacting treatment efficacy
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