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Ipamorelin or sermorelin may not be appropriate for every patient

J Endocrinology 262:0339

Risk factors for B12 deficiency include strict vegetarian diets, gastrointestinal conditions, and certain medications

That means it activates three different receptors simultaneously: GLP-1 (glucagon-like peptide-1), GIP (glucose-dependent insulinotropic polypeptide), and glucagon