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Ipamorelin, a selective ghrelin receptor agonist, promotes GH release by inhibiting somatostatin and is noted for its minimal off-target endocrine effects, particularly on cortisol and prolactin

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Haematological symptoms typically appear first and include fatigue, weakness, and pallor due to megaloblastic anaemia—a condition where the bone marrow produces abnormally large, immature red blood cells that function poorly