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Take-home message: - Peptides and assorted experimental drugs, like TB-500 and MK-677, are being recommended by fitness influencers to grow bigger muscles, lose fat, and recover from injuries faster - These drugs, many of which are claimed to boost levels of growth hormone, were studied in rodents and very small groups of human volunteers before being abandoned for not being beneficial or for causing unacceptable side effects - They are banned by the World Anti-Doping Agency and appear to be illegal in Canada and the United States, but can be purchased online

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The lab report shows total testosterone and even calculated free testosterone in the acceptable range, yet the symptoms that brought you to the office in the first place haven't budged

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doi:10.1001/jamapsychiatry.2019.1189 Janik A, Qiu X, Lane R, et al

By selectively inhibiting nicotinamide N-methyltransferase (NNMT), 5-Amino-1MQ helps preserve intracellular NAD+ levels and redirect cellular energy metabolism toward enhanced fat oxidation and mitochondrial efficiency