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Ipamorelin produced a selective and dose-dependent increase in GH levels with no significant stimulation of ACTH or cortisol, suggesting hypothalamic specificity. Kraemer et al., Journal of Clinical Endocrinology & Metabolism 2

Obesity (Silver Spring), 31 (8), 2139-2149

This process involves the stimulation of IGF-1 receptor hypertrophy and nitrogen retention, which are crucial for the development and enlargement of muscle fibers

They might also refer you to a urologist for further workup

Giofr, V