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Mechanism of Action The Tesamorelin/Ipamorelin blend works through complementary pathways : Tesamorelin binds to GHRH receptors on somatotroph cells in the anterior pituitary Ipamorelin activates ghrelin receptors (GHS-R1a) on the same cells This dual stimulation creates a amplified growth hormone pulse Natural feedback mechanisms remain intact, preventing excessive GH elevation The body maintains physiological control over hormone levels This mechanism makes the blend safer than synthetic growth hormone while still providing substantial benefits