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The most important practical distinction is pathway: CJC-1295 / Sermorelin / Tesamorelin: GHRH receptor pathway Ipamorelin / GHRP-2 / GHRP-6 / Hexarelin / MK-677: ghrelin or GHSR pathway HGH / GH: direct hormone, not a secretagogue This is why CJC-1295 and Ipamorelin are often studied together: they represent complementary upstream signals into GH-axis biology

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Together, they may contribute to fibroblast and immune cell migration by supporting actin filament formation, though these mechanisms remain under investigation