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It could even result in an elimination of D-SNPs in states without existing Medicaid MLTSS or managed behavioral health programs

Unlike broader-spectrum GHSs, ipamorelin targets the growth hormone secretagogue receptor (GHSR) with high specificity, with preclinical models showing minimal impact on ACTH or cortisol [peptidedosages.com]

Kaneko Y, Tajiri N, Staples M, Reyes S, Lozano D, Sanberg PR, Freeman TB, van Loveren H, Kim SU, Borlongan CV
In fact, periodic breaks may enhance subsequent responsiveness by allowing receptor upregulation during the rest period

[DOI] [PMC free article] [PubMed] [Google Scholar] 90.Heijmans J, Wielenga MCB, Rosekrans SL, van Lidth de Jeude JF, Roelofs J, Groothuis P, Ederveen A, de Jonge-Muller ESM, Biemond I, Hardwick JCH, DHaens G, Hommes DW, Muncan V, van den Brink GR

your actually encouraging her to have another shot in the dark
