Steroid use, common in the first 36 months post-LT, increases 30-day MBS morbidity/mortality [61]
State coverage can change without notice due to regulatory shifts or pharmacy operational decisions
The check-size implication is the most direct near-term concern
GHK-Cu focuses on structural skin improvements like collagen production and wound healing, while NAD+ targets cellular energy and DNA repair
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Short-term cost comparison favors compounded options, but real value emerges when combined with behavioral support, regular biomarker reassessment, and genetic insights that personalize dose escalation and adherence strategies