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Post-Protocol Approaches Maintenance: Retatrutide at the lowest effective dose, often 0.52 mg/week for recomp users Tesamorelin at 1 mg nightly for sleep and connective-tissue support NAD+ at 100250 mg total weekly L-Carnitine pre-training as needed Lean-gain phase: Retatrutide at the minimum effective dose Tesamorelin held A slight caloric surplus NAD+ and L-Carnitine continued The aim: slow, clean accrual of lean mass Contraindications Personal or family history of medullary thyroid carcinoma or MEN2 syndrome Active malignancy (GH/IGF-1 axis

When administering in this area, choose a spot at least 2 inches away from your belly button and avoid your waistline to prevent irritation from clothing

Read the full CMS-0062-P prior authorization for drugs proposed rule for comment details

B., Lowe, C., & Parkes, D