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Elevated cortisol promotes gluconeogenesis (glucose production in the liver), reduces insulin sensitivity, and encourages fat deposition in visceral areas

The 10/3 vial holds 10 mg tesamorelin and 3 mg ipamorelin (13 mg total), so it is GHRH-dominant

10.1016/j.neuint.2016.02.016 19 GloverM.KiraA.SmithC

General metabolic and energy support: 12 g daily

Risk factors include older age, gastrointestinal disorders, vegan diets, or use of certain medications like metformin or PPIs

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