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Start with MOTS-c alone at target dose for 1014 days, establish baseline response (measure fasting glucose, insulin sensitivity markers, and body composition changes), then introduce 5-Amino-1MQ at starting dose and titrate upward while monitoring

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5-Amino-1MQ (5-amino-1-methylquinolinium) is a small-molecule inhibitor of nicotinamide N-methyltransferase (NNMT), an enzyme involved in cellular energy metabolism