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What about extracellular reactive nitrogen species

It also protects the surface of the skin and enhances the damaged or irritated skin barrier

doi: 10.1016/j.fitote.2024.106372 24 ZhouWWangJDingLCaiRChengJLiangPet al

The peptide stimulates endogenous GH production rather than suppressing it, so the hypothalamic-pituitary axis is not shut down in the way it would be with exogenous hormone administration