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Any excess is stored in the liver or excreted in the urine
doi: 10.1002/bit.27984 8 ArpiaA

Its core design aims to preserve the bone metabolism regulatory activity of hGH and eliminate its side effects such as growth promotion, hyperglycemia, and IGF-1 elevation

Note also the frontal bone and the zygomatic bone

Selkoe, 2008

These distinct mechanismstirzepatide's incretin-based glucose and appetite regulation versus sermorelin's growth hormone axis stimulationtheoretically address different aspects of metabolic health without direct pharmacological overlap
