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Semax, for example, has been used clinically in Russia for more than 20 years and has been studied in Russian-language research

First, retreatment efficacy has not been evaluated in clinical trials, and no relevant published literature is currently available

They are more likely to explore case studies, ingredient profiles, and brand histories before making a decision

Metformin is commonly used off-label in this population, and adding tirzepatide (marketed as Zepbound for weight management in non-diabetic patients) can address both the insulin resistance and the excess weight that drives it

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