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It works by binding to GHRH receptors in the pituitary gland, signaling it to produce and release growth hormone
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As B12 is a water-soluble vitamin, it's generally considered safe (because any not used will be excreted via your urine), but even so you shouldn't take more than the recommended doses unless recommended to do so by your GP, as some studies have shown possible negative impacts of overdoing it
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Hexarelin produces the strongest acute GH release of any GHRP, but this potency comes with significant drawbacks: cortisol and prolactin elevation, appetite stimulation, and rapid desensitization requiring cycling
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