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Both peptides require ongoing IGF-1 monitoring through bloodwork regardless of which is used

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"GLP-1 receptor agonists and gastrointestinal side effects: Mechanisms and management." Diabetes Obes Metab , 2022

While a study found declined levels of NAD + and NAMPT levels and mitochondrial function in human sarcopenic muscle 249 , another study demonstrated no notable difference in NAD + or NAMPT levels in sarcopenic muscle of human patients 262

Brasi JR

Because the study was observational, it cannot establish a direct cause-and-effect relationship