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When researchers reference all four compounds together, its typically because each represents a different node in metabolic and growth-hormone research: AOD-9604 for its fragment-based lipid pathway, MOTS-c for mitochondrial signaling, Tesamorelin for GHRH receptor stimulation, and Ipamorelin for ghrelin receptor-mediated growth hormone release

People with pernicious anemia, or those at risk of developing it

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Most common: Acne / oily skin Libido changes Mood fluctuations (including irritability) Fluid retention Injection site pain, swelling, or bruising Elevated blood pressure Elevated hematocrit, hemoglobin, and PSA (lab monitoring required) Testicular shrinkage / atrophy Gynecomastia Night sweats Serious side effects may include: Polycythemia / elevated hematocrit (monitor CBC) Suppression of spermatogenesis / infertility while on treatment Elevated PSA Sleep apnea exacerbation DVT or PE (rare

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