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However, ipamorelin does not increase ghrelin levels

What GHRP-6 contributes that neither of the other compounds can replicate is the gastric motility component GHRP-6 accelerates gastric emptying through ghrelin receptor activation in gut vagal afferents, a pathway thats both a potential confounder in some study designs and the entire point in others

Still, if youre unsure of what to take, consult with your healthcare provider and do a stool microbiome test to know for sure what bacteria you need and which one you have an abundance of