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Elevated liver enzymes usually indicate inflammation or injury of the liver

That's why most research protocols build in a break between cycles, often called a washout period, to let the body reset before starting again

(jofem.org) But it is not in the same efficacy universe as GLP-1/GIP medications for weight loss, and it should not be positioned that way

The average adult should get 2.4 micrograms a day

Indications: Used primarily to treat vitamin B12 deficiencies due to malabsorption, dietary inadequacies (e.g., in vegans), or certain medical conditions like pernicious anemia

Reducing body fat decreases mechanical load on joints, while both peptides may support cartilage health