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The usual mechanistic explanation is that the GHRH arm drives somatotroph cAMP signalling while the GHRP arm additionally attenuates somatostatin tone, so the two are acting on different limbs of the same axis rather than competing for one receptor

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Benjamin Boury-Jamot, Centre Hospitalier Universitaire Vaudois (CHUV), Switzerland Updates Copyright 2018 Delhey, Tippett, Rose, Bennuri, Slattery, Melnyk, James and Frye

Wu GQ, Jia BY, Li JJ, Fu XW, Zhou GB, Hou YP, Zhu SE

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While BPC-157 is primarily famous for mitigating scar tissue during the active healing phase (the remodeling phase up to 1-2 years post-injury), it has a limited impact on scars that are decades old and fully calcified