Tier C — preclinical
Ipamorelin
Selective growth-hormone secretagogue; ghrelin receptor (GHS-R1a) agonist.
Evidence
Preclinical, plus limited early human pharmacology. No approval.
What the literature notes
Comparatively selective — stimulates GH release with less effect on cortisol and prolactin than older GHRPs, per the available pharmacology data.
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