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Gualano B, DE Salles Painneli V, Roschel H, Artioli GG, Neves M Jr, De S Pinto AL, Da Silva ME, Cunha MR, Otaduy MC, Leite Cda C, Ferreira JC, Pereira RM, Brum PC, Bonf E, Lancha AH Jr

Mind the Microbial Players Incorporate prebiotics, fermented foods, and consider targeted probiotic strains like Lactobacillus reuteri DSM 17938 or Bifidobacterium lactis HN019 Monitor for SIBO or methane dominanceespecially when constipation is stubbornand treat accordingly

One hypothesis is that GHRP-6 and GHRP-2 have off-target activity at corticotroph cells or hypothalamic CRH neurons that ipamorelin lacks due to its modified structure

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