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In our Stamford practice, we: Review your orthopedic and medical history Evaluate concurrent therapies (PRP, stem cells, surgery, physical therapy) Choose dosing schedules tailored to your goals Monitor progress, side effects, and outcomes We also avoid peptides in certain situations (e.g., active cancer, pregnancy, uncontrolled autoimmune flares) unless carefully coordinated with the rest of your care team

This hypothesis is supported by several studies that have shown supplementation with SAM improves depressive symptoms (104-107)

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Patients were categorized as fit (FI 0.21), or most frail (FI 0.45)