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The peptide works through a mechanism entirely separate from traditional HGH therapy , binding to the ghrelin receptor (GHS-R1a) and activating intracellular calcium signaling rather than the cAMP pathway used by GHRH
Other medications may often be prescribed at the same time and tapered off if the carnitine supplement seems to be effective
doi:10.1016/j.reprotox.2017.06.184 78
Prescribers monitor labs, adjust doses and screen for medical risks
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