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In P4, molecular analysis identified a homozygous 1-bp duplication in exon 4 (c.669_670dupG) that disrupts the reading frame and produces a truncated transcript (p.(Pro224Argfs*24))

Importantly, Ipamorelin selectively increases GH without affecting ACTH, cortisol, or prolactin levels [3]

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Other factors include age, dietary choices (especially in vegans and vegetarians), and gastrointestinal surgeries