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High detection risk (athletic testing) These peptides are explicitly targeted by anti-doping programs: All GHRPs: Ipamorelin , GHRP-2, GHRP-6, hexarelin GHRH analogues: Sermorelin , CJC-1295 , tesamorelin Growth factors: IGF-1 LR3 , MGF Healing peptides: BPC-157, TB-500 GH secretagogues: MK-677 (technically not a peptide) These compounds appear on prohibited lists and have established detection methods

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Some users also experience sulfur burps , a particularly unpleasant but generally harmless effect of delayed gastric emptying

However, patients may discontinue medications for reasons such as financial burden, drug side effects, or lack of efficacy