Building the Stack: Step by Step Step 1 [1] : Pre-Stack Assessment Before starting the stack, complete the following: Physician consultation (telehealth or in-person) Baseline labs: metabolic panel, HbA1c, lipids, copper/ceruloplasmin (if any copper metabolism concern) Baseline photos: face, abdomen, arms, thighs, and any areas of concern, taken in consistent lighting Health history review: screen for semaglutide contraindications (thyroid cancer history, pancreatitis, MEN 2) and GHK-Cu contraindications (Wilson's disease, copper allergy) Getting started Step 2: Start Semaglutide Begin semaglutide at 0.25 mg once weekly

What to Expect in Month 1 Appetite changes: Noticeable suppression begins week 3-4 for most Mild nausea: 40% experience some nausea, usually mild Injection site reactions: Redness, itching, or mild pain at injection site (14% of patients) Fatigue: Some patients report low energy as body adjusts Bowel changes: Either constipation or looser stools as medication affects gut motility 4 Essential Strategies for Month 1 1
[5] Some of this damage harms joints, and can include degeneration of structures like cartilage, bone and connective tissue
The best approach is allowing a sufficient washout period based on its half-life and detection window
doi: 10.1111/jdv.14297 46 PowellL