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Human Growth Hormone (HGH) Although Human Growth Hormone (HGH) can be used alone, adding GHRP-6 or GHRP-2 provides a way to amplify natural GH pulsatility , even during exogenous HGH cycles: Helps maintain pituitary sensitivity Prevents desensitization from flat HGH levels Supports greater IGF-1 production and anabolic signaling GHRPs combined with exogenous GH therapy can enhance pulsatile GH release and improve treatment outcomes. Chapman , Journal of Clinical Endocrinology & Metabolism MK-677 (Ibutamoren) MK-677 (Ibutamoren) is an oral GH secretagogue that stimulates GH release via the same GHS-R1a receptorbut with a much longer half-life (24h)