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For general growth hormone secretagogue biology background, see NIH-NIDDK endocrine research resources

The goal is not growth hormone. It is supporting your own physiology in a measured, monitored way that fits your goals.

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Tesamorelin appears to have an affinity to the GHRH receptors due to its chain composed of 44 amino acids, which include the specific sequence of GHRH, also made of 44 amino acids