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Same problem as FAERS and other reporting databases but way worse

Rare but serious side effects ( 10%), including nausea, constipation or diarrhea, loss of appetite/feeling of fullness, and acid reflux

Xuan W, Li X, Gao H, Zhang L, Hu J, Sun L, et al

Pythother Res

This "clean" pharmacological profile makes Ipamorelin the preferred reagent for researchers aiming to isolate the somatotropic (growth hormone) pathway without introducing the confounding variables of stress hormone elevation or appetite stimulation

The Tatiomax vials are are sterile and are used as injectable by many doctors in Asia and also increasingly in the US