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With studies placing the eligible population above 100 million adults, insurers and government programs face difficult arithmetic, and many are responding with their own eligibility layers: prior authorization requirements, documented participation in lifestyle programs, or step-therapy rules that sit on top of clinical criteria

Antifibrotic Effects Milk thistle may have antifibrotic effects (slowed scarring)

Muscle Growth and Preservation Increased GH and IGF-1 levels stimulate protein synthesis, promoting muscle hypertrophy and reducing muscle catabolism

no direct stack RCT Typical use Combined skin/recovery research Format Generic "copper peptides" (cosmetics) What it is Various copper-binding peptides, not all GHK-based Evidence base Mixed

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