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Naltrexone is FDA-approved only at 50 mg for alcohol use disorder and opioid use disorder, so every use at low doses is off-label, and the compounded preparation itself is not FDA-approved
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The selectivity is documented in the foundational paper: a peer-reviewed European Journal of Endocrinology study demonstrating that Ipamorelin stimulates, which is exactly why it has become the default selective secretagogue in modern peptide medicine
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