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That's a reasonable instinct

View study Crockford D

But it does mean you are relying heavily on the compounding pharmacy doing the work

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This formula combines NMNH and ergothioneine, NMNH as an NAD Supplement, It is good for healthy aging, skin health, immune system, boosts NAD+, cellular health, DNA repair, and energy level Ergothioneine is a naturally occurring antioxidant compound found in mushrooms such as lions mane

Some sources go further, noting that ipamorelin does not significantly increase appetite a common side effect of ghrelin receptor activation at the concentrations typically used in research protocols, distinguishing it from ghrelin's own broader physiological effects on feeding behavior