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In such a protocol, it's common to administer the BPC-157 locally to the ankle and the TB-500 systemically in the abdomen, leveraging the theoretical strengths of each compound's primary mechanism of action

But theres limited research into their effectiveness

[25] Fariduddin MM, Bansal N

Clinical research on combined metabolic therapies particularly those using NAD precursors together with compounds that increase glutathione has shown improvements in metabolic markers and liver health in specific patient populations

There, citrate is converted to malate before re-entering the mitochondria to fuel the electron transport chain (129)

It also provides joint support and increased energy