This remains an actively moving area, however: on February 27, 2026, the HHS Secretary publicly announced an intent to move roughly 14 of the 19 Category 2-listed peptides, reportedly including ipamorelin and CJC-1295, back toward Category 1 status, and multiple industry and legal-news outlets reported further FDA action in the following months easing Category 2-related restrictions on this group of peptides
Side effects and safety profiles Every effective metabolic peptide comes with trade-offs
However, the equivalence of these 2 treatments during continuation therapy has not been established
Alongside adequate fluid intake, ensure youre consuming sufficient calcium and vitamin D to support bone health, as muscle and bone integrity are closely linked
reported post-VSG increases in lumbar BMAT alongside peripheral MAT reductions, underscoring region-specific fatbone interactions, although other studies report a reduction in BMAT with VSG
Three RCTs met inclusion criteria The trials randomized 153 participants (74 participants to oral vitamin B12 and 79 participants to IM vitamin B 12 )