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Tesamorelin is a potent growth hormone-releasing hormone (GHRH) analog specifically designed to reduce visceral (belly) fat, improve metabolic function, and support healthy growth hormone levels
So I took off to the directors office and there was this book
[127] [128] Synthesis [edit] Biosynthesis [edit] Vitamin B 12 is derived from a tetrapyrrolic structural framework created by the enzymes deaminase and cosynthetase which transform aminolevulinic acid via porphobilinogen and hydroxymethylbilane to uroporphyrinogen III
Annu Rev Biochem (2017) 86:65984
HUBERMAN: So the point is that if you want a specific biological effect, maybe you want to repair a given injury, or you'd like to get more growth hormone in order, I don't know, to get leaner or to recover from exercise more quickly or to feel more vitality, yes, there are peptides that can impact those pathways, but always, always, always, if you take peptides, especially therapeutic peptides, designed to promote activity within a given pathway for a specific purpose, you are going to activate other pathways as well