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It depends on what you are treating, how the protocol is structured, and whether the peptide comes from a licensed 503A compounding pharmacy or a research supply website
This includes if symptoms get better and B12 levels in the blood rise
In the 1 mg trial arm, liver fat fell 51% among participants with fatty liver, visceral fat fell 16%, and triglycerides declined. Ketones are a separate matter: the same substudy found -hydroxybutyrate rose only at 4 mg and above, so the 1 mg arm does not carry a ketone signal in that population. Modeled metabolic-health protocols place heavier, metabolically average profiles near 1 mg weekly
