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Hexarelin is more potent and carries additional cardioprotective and neuroprotective properties, while ipamorelin is more selective, stimulating growth hormone without significantly affecting cortisol or prolactin levels

Possible reasons include the Washington State University patent holders not finding a pharmaceutical company willing to invest in development, the cancer biology concern with c-Met activation making development companies cautious, the preclinical effect sizes in rats not justifying the expense and risk of human trials, or other factors specific to drug development economics

Tirzepatide is a dual glp-1/gip receptor agonist FDA-approved for weight loss and type 2 diabetes

Emphasis should be placed on feasibility, automation potential, and operational relevanceespecially in contested environments