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Chemically, it remains a synthetic small molecule

"Growth hormone-releasing activity of hexarelin, a new synthetic hexapeptide, after intravenous, subcutaneous, intranasal, and oral administration in man." The Journal of Clinical Endocrinology & Metabolism 78.3 (1994): 693-698

Bacteriostatic water is sterile water containing 0.9% benzyl alcohol as a preservative that inhibits microbial growth

Zielinska A, Carreir F, Oliveira AM, Neves A, Pires B, Nagasamy Venkatesh D et al

Yu M, Pan Q, Li W, Du T, Huang F, Wu H, et al

The most common side effects include redness, swelling, irritation at the injection site, headaches, dizziness, flushing, or nausea