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The most common culprit is a herniated or slipped disc in the lumbar spine

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Functional Medicine Integration Before prescribing any peptide, we perform comprehensive testing to understand why your hormones or metabolism are suboptimal: DUTCH Complete hormone testing to assess hormone production, metabolism, and detoxification pathways Comprehensive metabolic panels including advanced lipids, inflammatory markers, insulin resistance markers Nutrient status (vitamin D, B12, magnesium, etc.) that directly impact peptide effectiveness Thyroid optimization (peptides dont work well with suboptimal thyroid function) Cortisol and stress assessment (chronic stress blunts GH response) This testing reveals root causes that peptides alone wont fix

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Metagenomic analysis of the human distal gut microbiome