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Combination Therapy and Athletic Applications Combination therapy research has explored Sermorelin together with growth hormone-releasing peptides (GHRPs) like GHRP-2, GHRP-6, or Ipamorelin, based on the concept that GHRH and GHRPs work through complementary mechanisms (GHRHR versus ghrelin receptor pathways) and can produce synergistic GH release when combined - indeed, clinical data supports enhanced GH stimulation with combination therapy versus either agent alone