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Hexarelin also binds with growth hormone secretagogue receptor (GHS-R1a) (2) similar to ghrelin to initiate a phospholipid-dependent protein kinase (PKC) signaling pathway (1)

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Advanced bulking protocol Goal: Maximum GH output and appetite stimulation for muscle gain Dose: 100-200 mcg per injection, 3 times daily Combined with: Mod GRF 1-29 at 100 mcg per injection (same timing) Timing: Dose 1: Upon waking (fasted, 30 minutes before eating) Dose 2: Post-workout (wait at least 30 minutes after last meal) Dose 3: Before bed (at least 2 hours after last meal) Cycle length: 12-16 weeks The combination with Mod GRF 1-29 (CJC-1295 without DAC) is where GHRP-6 truly shines