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The European respiratory journal 2020;56

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Physiology of Incretins GLP-1 and GIP are incretin hormones secreted from the intestine in response to food intake and stimulate glucose-dependent insulin release, -cell proliferation, and cellular survival

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If you combine a GHRP like Ipamorelin with a GHRH like CJC-1295 without DAC, there will be a synergistic effect in which the increase in growth hormone and IGF-1 will be several times greater than using either peptide alone