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daily Tesamorelin, if selected) Weeks 2-12 Optimization Phase Bi-weekly nurse calls for dose tweaks and side-effect checks Nutrition & strength-training plan synced to peptide cycle Months 3-12 Progress & Maintenance Quarterly labs, DXA scans, and sleep-quality assessments Option to stack with GLP-1, lipotropics, or IV nutrient therapy 7

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Participants were divided into early and late stage groups based on 9 clinico-pathological traits