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They can recommend the best dose for you based on your individual response to the drug.

Efficacy of ipamorelin, a ghrelin mimetic, on gastric dysmotility in a rodent model of postoperative ileus

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[DOI] [PubMed] [Google Scholar] 148.Qiu R, Balis D, Xie J, Davies MJ, Desai M, Meininger G

This means that while the label might say 500mg, your cells may only receive a tiny fraction of that amount