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In cases of severe metabolic deconditioning, 1014 days of enteral or parenteral nutritional therapy may be beneficial before surgery and directly affect postoperative recovery

Ainsworth M, Eriksen J, Rasmussen JW, Schaffalitzky de Muckadell OB

2008;4:e1000027

Independent testing has found issues with incorrect dosing, bacterial contamination, heavy metals, and mislabeled contents in these products

Note that the FDA has approved many peptide drugs over the years more generally including insulin

The peptide works best as part of a comprehensive recovery approach that includes appropriate rest, progressive exercise, and professional guidance when needed