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The metabolism and elimination of NAD+ (and its by-products) could be altered in advanced hepatic or renal dysfunction, and high-dose NAD+ might theoretically affect cardiovascular dynamics, so practitioners generally avoid or closely supervise NAD+ use in such settings

These are known as lipotropics, substances that help break down fat during metabolism in the body

The bottom line: sermorelin should only be used if you have a diagnosable growth hormone deficiency or a related medical condition

Beyond his own Peptual products, readers can ask a prescribing physician about reputable compounding pharmacies in their region, or a telehealth peptide clinic if no local provider has peptide experience