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Compounded peptides arent FDA-approved should that worry me

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It is a structural change

As the researchers noted, it might improve muscle and joint health

It upregulates growth factor expression (including EGF and VEGF), modulates nitric oxide pathways, and counteracts the damage caused by NSAIDs, alcohol, and chronic stress on the stomach and intestinal walls

In direct comparison trials for diabetes (SURPASS-2 compared tirzepatide to semaglutide 1 mg), tirzepatide showed superior blood sugar control and greater weight loss