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Clinical studies of tesamorelin and other metabolic peptides typically evaluate changes over 36 months, with visceral fat reductions and lab improvements often emerging gradually over that timeframe

The dysesthesia safety signal may prompt additional scrutiny or requests for supplemental neurological data

My recommendations here are the same as always: lots of fibre, adequate protein, healthy fats
Allulose is a GMO-free sweetener
The challenge is finding a plan that feels realistic and staying consistent with it over time