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Ipamorelin is a selective ghrelin / GHS-R agonist (a growth-hormone-releasing peptide, GHRP)

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This natural organelle replacement therapy directly supplies healthy mitochondria to functionally compromised cells, thereby restoring cellular ATP generation capacity at the root, reducing mtROS levels, and decreasing the release of pro-inflammatory factors (e.g., IL-1, IL-18)

Gastroenterology 153 , 3548 (2017)

The outcomes of this study should be used with caution if patients have co-morbidities that may affect efficacy

Along those lines, many assume that B12 improves brain and cognitive function due to its ability to reduce homocysteine levels