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Valeria Marulanda, our clinical lead, frames the comparison this way: “NAD+ restores cellular energy and helps patients feel better faster, and growth hormone peptides like CJC-1295/Ipamorelin support the structural anti-aging goals patients often associate with Sermorelin.” That framing holds across virtually every patient who presents asking which direction to take

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(19) Gastric surgeries: If a portion of your stomach has been removed, the body can’t produce enough IF, and the amount of space for B12 to be absorbed is also reduced