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BPC-157 is also not an FDA-approved treatment, and they've noted safety concerns surrounding this peptide, citing that it may contain impurities and may trigger an unwanted immune system response that could be dangerous

If a clinician recommends combining sermorelin and ipamorelin , it should come with: a clear rationale (what problem is being treated), a monitoring plan (often IGF-1 and metabolic markers), and explicit stop rules for side effects

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