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Side Effect CJC-1295 + Ipamorelin HGH (Somatropin) Injection site reactions Common, mild Common, mild Water retention/edema Mild, transient Moderate to significant, dose-dependent Joint pain Rare Common at higher doses (carpal tunnel, arthralgia) Insulin resistance Not documented as significant Well-documented at supraphysiological doses Cortisol elevation Minimal (Ipamorelin is selective) Not directly caused by HGH Prolactin elevation Minimal (Ipamorelin advantage over GHRP-2/6) Not directly caused by HGH Organ enlargement risk Not documented (physiological GH levels) Documented at chronic supraphysiological doses Pituitary suppression Feedback loop preserved Natural GH production suppressed with prolonged use The side effect differential largely stems from the feedback loop distinction

They can only look at safety. But three former FDA officials closely familiar with how the agency created the criteria to assess the peptides in the first place say Kennedy has mischaracterized their work