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Ipamorelin Dosing Schedule (Community-Derived) Phase Assessment Timing Week 1 Daily Dose 100 mcg/day Frequency 1x at bedtime, fasted Phase Titration Timing Weeks 2-3 Daily Dose 200 mcg/day Frequency 1x bedtime, or split 100 mcg AM + 100 mcg PM Phase Standard Timing Weeks 4-8 Daily Dose 200-300 mcg/day Frequency 1-2x daily (AM fasted + bedtime is common) Phase Extended Timing Weeks 9-12 Daily Dose 200-300 mcg/day Frequency Continue if tolerated

ATF4 directly binds to the ATF/CRE element to activate transcription