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The Bottom Line Sermorelin, CJC-1295, ipamorelin, and BPC-157 each represent distinct classes of compounds with different mechanisms, half-lives, targets, and evidence bases

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Hydration and body mass also affect urine concentration, altering detection

For observational studies in Table 1 ( n = 11), formal standardized risk of bias assessment was not conducted due to substantial heterogeneity in study designs, participant characteristics, laboratory methods, and outcomes measured