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The angiogenesis and disruption of liver vascular architecture have been linked to progression to cirrhosis and liver cancer in chronic liver diseases, which contributes to both increased hepatic vascular resistance and portal hypertension and decreased hepatocyte perfusion [119,120,121]

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daily Tesamorelin, if selected) Weeks 2-12 Optimization Phase Bi-weekly nurse calls for dose tweaks and side-effect checks Nutrition & strength-training plan synced to peptide cycle Months 3-12 Progress & Maintenance Quarterly labs, DXA scans, and sleep-quality assessments Option to stack with GLP-1, lipotropics, or IV nutrient therapy 7