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Early, small, short-term studies on premenopausal women diagnosed with HSDD have shown some evidence of increased libido, but theres no evidence yet that it has this effect on menopausal women

doi:10.1076/opep.10.4.215.15906

As discussed, combining CJC-1295 (no DAC) with Ipamorelin creates synergistic effects that neither achieves alone

The metabolism and elimination of NAD+ (and its by-products) could be altered in advanced hepatic or renal dysfunction, and high-dose NAD+ might theoretically affect cardiovascular dynamics, so practitioners generally avoid or closely supervise NAD+ use in such settings