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As of 2026, semaglutide (Ozempic/Wegovy) and tirzepatide (Mounjaro/Zepbound) are not on the WADA Prohibited List, so they are legal in and out of competition and no Therapeutic Use Exemption is required

The similarity can be explained by the presence of similar structural moieties in the terminal parts of both moleculesGHRP1 has the same peptide sequence as ipamorelin with the inclusion of LAlaLTrp in the middle of the structure, and on the other hand, ipamorelin has an abundant methyl group at the LAla end