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Unlike earlier GH secretagogues, ipamorelin exhibits high selectivity, minimal activity at other hormonal axes (ACTH, cortisol, or prolactin), and potent GH release in both animals and humans

Similarly, the impact of renal or hepatic impairment on BPC-157 pharmacokinetics remains unexplored, though the peptide's metabolism to amino acids and apparent wide therapeutic window suggest limited risk even with reduced clearance