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Tesamorelin is an FDA-approved prescription therapeutic (brand name Egrifta) for a specific clinical indication, and its use for general bodybuilding, fat loss, or anti-aging purposes in people without that diagnosis is an off-label application, not an over-the-counter supplement use

Ipamorelin follows closely as a complementary option for lifters focused on lean mass and recovery, offering a more selective growth-hormone-secretagogue profile that avoids meaningful cortisol or prolactin spikes seen with older compounds in its class

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NAD+ precursors, in particular, are a common pairing