Metabolic
GLP-1 and GIP/GLP-1 agonists remain the backbone. Layer in tesofensine (where legal) or adjunct peptides for appetite modulation and body composition.
Healing and tissue quality
BPC-157 and TB-500 for orthopedic recovery and GI. GHK-Cu topically for skin and hair support. Thymosin-alpha-1 for immune resilience.
Cognitive and sleep
Cerebrolysin, Selank, and Semax for cognition — physician-supervised only. DSIP and CJC/ipamorelin for sleep architecture and recovery.