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This selectivity is what makes ipamorelin special among growth hormone secretagogues
The authors demonstrated a consistent finding of high sensitivity but low specificity in actigraphy's ability to detect wake periods after sleep onset

Exposure to greater than 25 mg may precipitate a hypertensive crisis , marked by a rapid rise in blood pressure (often exceeding 180/120 mmHg), chest pain, and acute confusion

Respiratory distress requiring mechanical ventilation has been reported in cases with antecedent Chikungunya infection

Chen D, Si W, Shen J, Du C, Lou W, Bao C, Zheng H, Pan J, Zhong G, Xu L, et al