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This is the same additional pathway that tirzepatide uses beyond semaglutide

GHRP-6 and GHRP-2 Primary benefits for strength: Powerful growth hormone release Significant muscle mass gains Increased appetite (helps with bulking) Strong recovery enhancement Dosing for strength: 100-300mcg, 2-3 times daily Best on empty stomach Powerful when stacked with CJC-1295 Timeline for strength gains: Faster muscle gains than Ipamorelin 8-16 weeks for significant strength improvements More aggressive muscle building Best for: Bulking phases Athletes who want aggressive muscle gain Those who can manage increased appetite Downsides: Increases prolactin (monitor for side effects) Very strong hunger (can be pro or con) Hexarelin Primary benefits for strength: Most powerful GHRP for GH release Rapid muscle growth Significant strength gains Enhanced recovery Dosing for strength: 100-200mcg, 2-3 times daily Cycle for 4-8 weeks, then break (desensitization occurs) Extremely potent Timeline for strength gains: Faster than other GHRPs 4-8 weeks for noticeable strength increase Requires cycling to maintain effectiveness Best for: Short-term strength boosts Experienced peptide users Aggressive bulking phases Downsides: Desensitization with continuous use Increases cortisol and prolactin more than other GHRPs Requires breaks IGF-1 LR3: The most anabolic peptide for strength IGF-1 LR3 is in a category by itself for muscle and strength building

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Amini L, Chekini R, Nateghi MR, Haghan H, Jamialahmadi T, Sathyapalan T, Sahebkar A (2021) The effect of combined vitamin C and vitamin E supplementation on oxidative stress markers in women with endometriosis: a randomized, triple-blind placebo-controlled clinical trial