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Chemical Makeup (3)(4) Molecular Formula Tesamorelin: C 221 H 366 N 72 O 67 S Ipamorelin: C 38 H 49 N 9 O 5 Molecular Weight Tesamorelin: 5136 g/mol Ipamorelin: 711.8 g/mol Sequence Tesamorelin: Unk-Tyr-Ala-Asp-Ala-Ile-Phe-Thr-Asn-Ser-Tyr-Arg-Lys-Val-Leu-Gly-Gln-Leu-Ser-Ala-Arg-Lys-Leu-Leu-Gln-Asp-Ile-Met-Ser-Arg-Gln-Gln-Gly-Glu-Ser-Asn-Gln-Glu-Arg-Gly-Ala-Arg-Ala-Arg-Leu-NH2 Ipamorelin: H-Aib-His-D-2Nal-D-Phe-Lys-NH2 Other Known Titles Tesamorelin: (3E)-hex-3-enoylsomatoliberin Ipamorelin: Ipamorelin Acetate, Aib-His-D-2-Nal-D-Phe-Lys-NH2 Research and Clinical Studies Tesamorelin & Ipamorelin Blend and Growth Hormone Deficiency The Tesamorelin and Ipamorelin blend appears to exert its potential through distinct yet complementary proposed mechanisms of action

39 The outcome of these studies reinforces the notion that the intestinal epithelium is essential for separating luminal antigens from mucosal immune components, and that its disruption by altered proliferation/apoptosis ratio can result in immune activation and inflammation (Figure 1)