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yet these agents may favor an increase of lean mass and mimic an energy deprivation state with increased ketogenesis (i.e., BHB) through increased circulating GH levels ( Figure 1 )

"It doesn't work that way." Instead, Ghen said patients should undergo comprehensive testing before considering peptide therapy, including hormone panels, inflammatory markers, metabolic testing and, in some cases, mitochondrial or autonomic nervous system evaluations