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IGF-1 Signaling: Anabolic and Anti-Aging Effects Both peptides stimulate GH secretion, which, in turn, triggers IGF-1 synthesis in the liver

- **Retatrutide vial** (lyophilized powder -- usually a white cake or powder at the bottom) - **Bacteriostatic water (BAC water)** -- NOT sterile water unless using single-dose - **3ml syringe with needle** for drawing BAC water - **Insulin syringes** (29-31 gauge, 1/2 inch) for injections - **Alcohol swabs** (70% isopropyl) - **Clean, flat work surface** with good lighting - **Sharps container** for needle disposal ### Know Your Vial Compounded retatrutide commonly comes in these sizes: - **30mg** -- Good for patients on lower doses (1-4mg)

Certain conditions may require adjustments in dosage or the best form, such as glutathione sublingual or IV therapy