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In some cases, temporary dose reduction, switching to an alternative GLP-1 receptor agonist, or discontinuation may be necessary

Protein also tends to be well-tolerated even when appetite is suppressed

Hypothetically, very large doses of Ipamorelin can lead to increased levels of Cortisol and Acetylcholine, but when put into practice, if Ipamorelin is the only GHRP in your cycle, you will hardly notice any elevation in your Cortisol or Acetylcholine levels

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Thyroid enlargement may be accompanied by changes in voice, difficulty swallowing solid foods, or, less commonly, breathing difficulty if compressing the airway