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173 The increased levels of lactate in the circulatory system are closely related to the deterioration of cachexia

The goal here isnt to discourage you from using the tesamorelin-ipamorelin stack

The mechanism of treatment employs using the intrinsic cellular energy to reduce the active agent lipoate-[S-S] (actually a pro-drug) to dihydrolipoate [DHLA-(SH) 2 ] (the reduced active agent)