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The information below reflects USP standards, manufacturer prescribing information, and self-reported community sources

Longevity & Performance Consultation $100 We begin with a detailed consult focused on: Your energy, sleep, stress, and performance demands Bodycomposition trends , weight history, and midsection changes Training load, activity level, and recovery patterns Medical history, medications, and labs (when available) This helps us determine whether combining NAD with Tesamorelin/Ipamorelin is appropriate, or if another protocolor stepwise approachmakes more sense

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For comprehensive comparison including effectiveness and side effects, see our semaglutide vs tirzepatide guide

Dehydration represents another plausible mechanism, especially in patients achieving significant weight loss

Review the package insert carefully when your medication arrives