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Before considering them, I look at: Sleep architecture Protein intake Resistance training stimulus Vitamin D Iron status Thyroid function Testosterone and SHBG if clinically indicated ApoB and metabolic risk Body composition trends If those are not optimised, peptides are premature

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Swirski FK, Nahrendorf M, Etzrodt M, Wildgruber M, Cortez-Retamozo V, Panizzi P, Figueiredo JL, Kohler RH, Chudnovskiy A, Waterman P, Aikawa E, Mempel TR, Libby P, Weissleder R, Pittet MJ

Vitamin D Supplementation in Adolescents and Young Adults with Juvenile Systemic Lupus Erythematosus for Improvement in Disease Activity and Fatigue Scores: A Randomized, Double-Blind, Placebo-Controlled Trial

doi: 10.1016/0003-2697(85)90442-7 64 StandevenA