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There is no reason to combine these 2 medications as they target the same receptor so you would just be engaging in overkill with no additional benefits However, there are times when you can add additional or stack peptides such as CJC 1295/Ipamorelin, AOD 9604, or MOTS-C, although these would need pre-approval from one of our medical providers How do I avoid GI (gastrointestinal) upset

Oral Melanotic Macule An oral melanotic macule is a harmless dark spot found on the lip, most often the lower lip, or inside the mouth, either on the gums, inside the cheek, or on the roof of the mouth

Li S, Chen X, Li Q, et al

Plant Physiol 137:939948