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At Stellar Performance Medical, we use targeted peptide therapy to address your specific health goals, from anti-aging to performance enhancement

For someone who tolerates tirzepatide well and wants the amylin add-on, it is a defensible choice

May stabilise blood sugar

Doses above 100mg daily show diminishing returns in NNMT inhibition the enzyme inhibition curve plateaus beyond 150mg while increasing the risk of methylation pathway disruption and homocysteine elevation

The addition of high dose niacin was intended to increase HDL ("good") cholesterol, reduce elevated triglycerides, and, most importantly, reduce the risk of heart attacks and stoke