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Hauck EW, Bschleipfer T, Diemer T et al: Long-term results of plaque thinning with carbide burs, small incisions and venous grafting for correcting complex penile curvature in Peyronie's disease: poor results of an "ideal" approach

2- Timing & split dosing: Because Ipamorelin induces pulsatile GH, many protocols favor pre-bed, pre-workout, or split dosing (morning + evening) to mirror natural GH rhythms

Tkachenko MA, Zhaunat NZ, Erman LV, et al