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Well ghk-cu has a different ph balance from the others, therefore when mixed they cancel each other out

Neither the oral nor the injectable medication work by themselves, says Doshi

One study showed faster walk speed, greater muscle strength measured by handgrip dynamometry and higher fat free mass measured by bioimpedance (adjusted for height squared) in DPP4 users than those on sulphonylureas [147], although it is unclear whether this was due to beneficial effects of DPP4 inhibitors or deleterious effects of sulphonylureas

This may represent regression to the mean or be driven by a learning effect of the cognitive battery