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Xu D, Lu L, Xi L, Cheng R, Pei Z, Bi Y, Ruan S, Feihong Luo (2017) Efficacy and safety of percutaneous administration of dihydrotestosterone in children of different genetic backgrounds with micropenis

Why the pairing is plausible The logic for combining them comes from pathway biology: tesamorelin works through the GHRH receptor, while ipamorelin works through the ghrelin/GHS-R1a receptor

Strict on/off cycling is less established

10.1681/asn.v134875 90

They are also preferred by researchers who want to avoid injections entirely, though it is worth noting that the oral route distributes the peptide systemically rather than concentrating it at a specific site