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doi:10.1152/physrev.00018.2001 Patel N, Hyman M

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Approval and Indication The FDA approved elamipretide to improve muscle strength in patients with Barth syndrome weighing at least 30 kg

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This is a structural pharmacology difference, not a dose difference at equivalent GH-stimulating doses, it produces minimal cortisol and prolactin elevation, while GHRP-6 produces significant elevations of both