This IGF-1 LR3 analog of IGF-1 has been created with the purpose of increasing the biological activity of the IGF peptide
This concern applies to all GH secretagogues, not ipamorelin specifically

WATER, CYCLOPENTASILOXANE, TITANIUM DIOXIDE, ETHYLHEXYL METHOXYCINNAMATE, ZINC OXIDE, ETHYLHEXYL SALICYLATE, NEOPENTYL GLYCOL DIHEPTANOATE, PHENYL TRIMETHICONE, GLYCERIN, BUTYLENE GLYCOL, LAURYL PEG-10 TRIS(TRIMETHYLSILOXY)SILYLETHYL DIMETHICONE, NIACINAMIDE, TRIMETHYLSILOXYSILICATE, METHYL METHACRYLATE CROSSPOLYMER, DISTEARDIMONIUM HECTORITE, MAGNESIUM SULFATE, PENTYLENE GLYCOL, POLYMETHYLSILSESQUIOXANE, PEG-10 DIMETHICONE, BELLIS PERENNIS (DAISY) FLOWER EXTRACT, PYRUS MALUS (APPLE) FRUIT EXTRACT, EUCALYPTUS GLOBULUS LEAF EXTRACT, OENOTHERA BIENNIS (EVENING PRIMROSE) FLOWER EXTRACT, ULMUS DAVIDIANA ROOT EXTRACT, PINUS PALUSTRIS LEAF EXTRACT, PUERARIA LOBATA ROOT EXTRACT, OENOTHERA BIENNIS (EVENING PRIMROSE) OIL, ROSA CANINA FRUIT OIL, OLEA EUROPAEA (OLIVE) FRUIT OIL, CARTHAMUS TINCTORIUS (SAFFLOWER) SEED OIL, HYDROGENATED LECITHIN, ALUMINUM HYDROXIDE, BIS-ETHYLHEXYLOXYPHENOL METHOXYPHENYL TRIAZINE, POLYGLYCERYL-4 ISOSTEARATE, STEARIC ACID, PALMITIC ACID, DIMETHICONE, METHICONE, CAPRYLYL GLYCOL, GLYCERYL CAPRYLATE, STEARYL DIMETHICONE, ETHYLHEXYLGLYCERIN, DIMETHICONE/VINYL DIMETHICONE CROSSPOLYMER, GLUTATHIONE(600 ppm), TRIETHOXYCAPRYLYLSILANE, ADENOSINE, MYRISTIC ACID, ECTOIN, TOCOPHEROL, LAUROYL LYSINE, POLYGLYCERYL-10 STEARATE, PANTHENOL, SODIUM ASCORBYL PHOSPHATE, TOCOPHERYL ACETATE, 1,2-HEXANEDIOL, RETINYL PALMITATE, BIOTIN, TRIPEPTIDE-1, THIAMINE HCL, FOLIC ACID, PYRIDOXINE, ACETYL HEXAPEPTIDE-8, COPPER TRIPEPTIDE-1, PALMITOYL TRIPEPTIDE-1, PALMITOYL PENTAPEPTIDE-4, CYANOCOBALAMIN, FRAGRANCE, IRON OXIDES(CI 77492), IRON OXIDES(CI 77491), IRON OXIDES(CI 77499)

Those projections appear to have underestimated the current demand for hormone therapy, which has increased significantly in the last couple of years and thats caused shortages, says Cole
The aim isnt to panic
With the approval of Wegovy for MASH, we provide a new treatment to people living with MASH that not only halts the disease activity but helps reverse the damage caused to the liver, said Lange