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Ipamorelin is a selective Growth Hormone Secretagogue Receptor (GHSR) agonist that stimulates GH release through the ghrelin pathway without affecting cortisol, prolactin, or ACTH levels

Patients should seek urgent medical attention if they develop: Severe symptoms including extensive vulval swelling or ulceration Systemic features such as fever Pregnancy with severe symptoms Immunocompromised state with infection Unusual vaginal discharge with offensive odour, particularly if accompanied by pelvic pain, which suggests possible pelvic inflammatory disease requiring prompt antibiotic therapy Any vaginal bleeding outside normal menstruation It is important to note that over-the-counter fluconazole has specific licensing restrictions and may not be available without prescription for all patients

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Talk to your doctor to find the best options for your lifestyle and goals

Athletes often need more structured fuelling plans with smaller, more frequent carbohydrate doses and scheduled hydration because hunger and thirst cues become less reliable

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