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Teratogenicity assessment in pregnant rats receiving 0.2-4 mg/kg intramuscularly during days 6-15 of pregnancy found no effects on fetuses or organ development

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Mechanistically, yes Tesamorelin and Ipamorelin are growth hormone secretagogues that act on the pituitary gland to increase GH and IGF-1 levels, pathways distinct from AMPK activation (MOTS-c) and NNMT inhibition (5-Amino-1MQ)