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When defending its position, Caremark cited cost concerns and the availability of preferred, therapeutically interchangeable medications (like those made by Zepbounds competitor, Novo Nordisk)

Affected members began researching dosage equivalencies as they considered switching between medications to find the most affordable option available

Unlike hexarelin or GHRP-6, which elevate cortisol alongside GH, ipamorelin produces isolated GH pulses peaking 3060 minutes post-injection with minimal hypothalamic-pituitary-adrenal axis disruption