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PMID 40465419 characterised hexarelin as the primary hepatic metabolite of alexamorelin a structurally related compound from which hexarelin is generated by carboxypeptidase-mediated C-terminal alanine cleavage (alexamorelin signal decreased approximately 150-fold within 3 hours of hepatocyte incubation)

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If you or a loved one has experienced gastrointestinal issues, abdominal pain, or other severe side effects after using these drugs, you may be entitled to compensation