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The FDA has not approved an NDA for ipamorelin, so no FDA label with hepatic-impairment language exists

[13] Depression: One 2014 review assessed the use of ALCAR in fourteen clinical trials for various conditions with depressive symptoms

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(PubMed) Matalliotakis I, Koumantaki Y, Evageliou A, Matalliotakis G, Goumenou A, Koumantakis E