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Conflict of interest CR has received personal fees from Boehringer Ingelheim, GI Dynamics, Herbalife, Johnson and Johnson, Keyron, Eli Lilly, and Novo Nordisk outside the submitted work

This principle applies equally to peptide therapies, even those with preclinical hepatoprotective data

Must be handled by qualified personnel in an appropriate laboratory environment

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Rationale: Tesamorelin is FDA-approved for reducing visceral fat Ipamorelin adds complementary GH stimulation Combined effect on body composition Note: Tesamorelin is more expensive and prescription-only in many contexts