Gastrectomy or Gastric Bypass Surgery: Surgery on the stomach can make it hard to absorb B12
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It is also one of the three actives in the Peptual transdermal patch he endorses, alongside BPC-157 and NAD+: BPC-157: ~2000 mcg NAD+: ~250 mg GHK-Cu: ~10 mg The patch combines tissue repair (BPC-157), cellular energy (NAD+), and collagen synthesis (GHK-Cu) in a sustained-release format (source)
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Checklist for lifestyle and peptide synergy: Daily whole-food diet with antioxidant-rich choices Regular moderate exercise, 35 sessions per week Consistent sleep schedule, 79 hours nightly Minimize toxin exposure (plastic, heavy metals) Supplements: targeted vitamins/minerals per clinician Peptide schedule aligned to metabolism and sleep Future Directions Research will optimize which peptides work best, how to deliver them and who benefits most