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A minimum 68 hour separation between alcohol and peptide dosing reduces but doesn't eliminate the interference
NICE guidance (NG28) specifies that these agents should generally be considered in people with a BMI 30 kg/m (or lower in certain ethnic groups) and specific problems associated with high weight, or if insulin would have significant occupational implications
The reality check and this is the most cautionary one in the article: IGF-1 LR3 carries a serious risk profile
These can include L-carnitine or other B-complex vitamins
So there's different methodologies to measure it
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