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Peer review Peer review information Nature Communications thanks Hongli Mao, and the other, anonymous, reviewer for their contribution to the peer review of this work

This means people following a vegan or vegetarian diet will likely have significantly less beta-alanine and carnosine in their system and require supplementation to enhance athletic performance

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Peptide protocols involving GH-axis support may involve different concerns, such as fluid retention, joint discomfort, glucose changes, or contraindications depending on the patient

For patients considering this dual approach, understanding how testosterone and GLP-1 medications interact at the metabolic leveland where individual genetic factors may influence responsecan support more informed conversations with healthcare providers