Step 2: Start simple First protocol suggestions: 30s-40s : Ipamorelin + CJC-1295 (foundational) Menopause : Ipamorelin + CJC-1295 + PT-141 if libido issue Weight loss needed : Semaglutide alone first, add Ipamorelin later Skin aging primary : GHK-Cu topical + injectable Start with 1-2 peptides max
doi:10.1016/j.jmb.2009.03.026
Nat Rev Gastroenterol Hepatol (2014) 11:50614
Formulary tier is not publicly confirmed at the drug level verify on the Quartz member portal or call Quartz PA line
Seek medical advice if you have fewer than three bowel movements weekly, severe or persistent constipation despite lifestyle measures, or alarm features such as rectal bleeding, unintentional weight loss beyond that expected from Wegovy, or severe abdominal pain
Surgery Semaglutide offers moderate weight loss (around 15%), while bariatric surgery physically alters the digestive system for more significant, durable weight loss (60-80% excess weight) but involves higher risks and longer recovery