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If your chart documents both biopsy-confirmed NASH (or MRI-PDFF confirmed steatohepatitis) and a concurrent diagnosis of type 2 diabetes with HbA1c 6.5%, the prescription can be written for the diabetes indication

The NRF2 target genes contain an enhancer element with a common ~41 bp DNA sequence element termed an antioxidant response element (ARE)

Moreover, the mechanism of action of tirzepatide extends beyond just blood sugar regulation

STACK 6 combines TESA-IPA, GLP-3 RT (Phase 3, not FDA approved), MOTS-C, and GHK-Cu, sold as research compounds for laboratory use only

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Prioritize protein at breakfast and after workouts to support muscle maintenance