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Step 5: Track progress Monitor: Energy levels (daily ratings) Sleep quality Weight and measurements Menopause symptoms (if applicable) Skin quality (photos) Overall sense of wellbeing Blood work: Baseline before starting Recheck at 12 weeks Every 6 months during long-term use Monitor: IGF-1, metabolic panel, thyroid, hormones Step 6: Adjust as needed After 8-12 weeks: Assess what's working Adjust doses if needed Add peptides if gaps remain Remove peptides if not helping Peptides are tools

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doi:10.14740/jocmr6370 Almendra Lopez-Usina, Camila Mantilla-Cisneros, Jordan Llerena-Velastegui