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There are some medications which are used for other indications but that have modest effect in lowering uric acid levels, such as losartan (Cozaar), used for hypertension, and fenofibrate (Tricor), used for elevated triglycerides, but these only infrequently can sufficiently lower uric acid level
When a patient prefers oral peptides or creams, we avoid over-the-counter peptide supplements : Many practices encourage oral peptides or creams with low bioavailability (10- 20x less effective than injections)
NAD plays a central role in cellular repair and mitochondrial function
BPC-157 (10 mg per vial) BPC-157 is a 15amino-acid peptide derived from a protective protein found in gastric juice
Laboratory monitoring may include complete blood counts, comprehensive metabolic panels, and hepatic function tests, though specific monitoring protocols have not been established through clinical trials
