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Zhang et al, 2021

In a clinical study, a single injection of CJC-1295 increased IGF-1 levels by up to 3-fold for 10+ days , all while keeping the GH release in a natural pulsatile rhythm

So while Hexarelin and Ipamorelin both work to boost GH output, they differ in terms of potency, selectivity, and how they interact with other hormones