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Administration Route: subcutaneous injection Site rotation: abdomen, thigh rotate Timing principles: Pre-bed dose aligns with natural nocturnal GH surge Fasted state is preferred (carbohydrate/insulin spikes blunt GH response) Space injections at least 3 hours from heavy meals Reconstitution Ipamorelin: 5 mg vial + 2 mL bacteriostatic water = 2,500 mcg/mL (200 mcg per 0.08 mL on U-100 insulin syringe = 8 units)

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Community protocols describe gentle swirling not shaking to avoid degradation, with storage at 28C and use within 28 days

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10.1111/j.1600-0412.2012.01536.x 223

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