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Week 5: Add MOTS-C (250mcg/day, ramp to 500mcg/day over 2 weeks) + NAD+ (250500mg/day NMN or NR)

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It enhances hepatocyte growth factor signaling, which promotes synaptogenesis and cognitive function

These preliminary results, though reassuring, need validation in larger cohorts, especially due to the narrow therapeutic range of tacrolimus and the risk for graft rejection in undertreatment