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Patients and Methods We performed an exploratory open pilot study involving 20 patients (13 men and 7 women) with SD on the face to evaluate the effectiveness of a topical formulation in cream containing GSH-C4 0.4% in Hyaluronic acid 0.25% (hereinafter SEB)

Protocol 3: fat loss and body recomposition (2-3 peptides) Goal: Maximize fat loss while preserving or building lean mass Peptides: Semaglutide : Start 0.25mg weekly, titrate to 1-2.4mg weekly over 8-16 weeks BPC-157 : 250mcg twice daily (protects gut health during GLP-1 use) Optional third: Ipamorelin 100mcg twice daily (supports lean mass preservation) Why this works: Semaglutide provides powerful appetite suppression and improved insulin sensitivity for fat loss

However, two injections of BPC-157 brought complete relief

However, neither study established equivalent human effects