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Heres what happens mechanistically: ipamorelin suppresses somatostatin at both hypothalamic and pituitary levels
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Trends Endocrinol Metab 31:708711 Bildik G, Akin N, Senbabaoglu F, Sahin GN, Karahuseyinoglu S, Ince U, Taskiran C, Selek U, Yakin K, Guzel Y et al (2015) GnRH agonist leuprolide acetate does not confer any protection against ovarian damage induced by chemotherapy and radiation in vitro
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Under neutral pH (shown in a blue box), the intermediate is metabolized to a general isothiocyanate or to indole-3-carbinol or oxazolidine-2-thione via the unstable intermediates, indol-3-ylmethyl-isothiocyanate or -OH-isothiocyanate, respectively