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Ipamorelin Peptide Synthesized and Lyophilized in Canada by Koi Peptides Domestic Synthesis at a Canadian Facility Ipamorelin is built by solid-phase peptide synthesis at a Canadian manufacturing partner, with the two non-coded residues (Aib at position 1, D-2-Nal at position 3) and the C-terminal amide installed during the closing assembly and cleavage steps