Jan 20, 2026 at 4:10 PM#26
Congrats jason_sac26!! You should be so proud of yourself. 🎉
15 0tony_orlando, Dr.NephBHM_UK, kim_atl_prep and 12 others
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Jan 20, 2026 at 4:27 PM#27
Slightly tangential to International vendor but Admin reminded me — does anyone have experience combining this with metformin?
I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.
10 9tyler_CSCS, VanRx_Mike, steve_okc and 7 others
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Jan 20, 2026 at 4:44 PM#28
Yep. My endo said the same thing about International vendor.
43 14cory_ATX, lori_vegas, Dr.PulmRoch and 40 others
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PeptideMeter — Independent Peptide Analytics
Community-driven peptide testing and vendor rating platform. Transparent results. Unbiased analysis. Trusted by thousands.
View ResultsJan 20, 2026 at 5:01 PM#29
Reading this thread on International vendor hits close to home. Night shift nurse — I started at 295 lbs and felt like I would tried everything.
11 months on tirz and I am a different person. Not just the 70 lbs lost — my energy, my mood, my relationship with food. All transformed.
If you are on the fence about International vendor — take the leap. It was the best health decision I have ever made. ❤️
Last edited: Jan 20, 2026 at 7:01 PM
27 23JenMemphis, pat_auckland, Dr.GastroMayo and 24 others
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Jan 20, 2026 at 5:18 PM#30
As a pharmacist, I want to add some clinical context to this discussion on International vendor directory need.
Building on what Dr.LipidDallas said — the evidence base here is robust. The key publications to reference are from the SURMOUNT program[1].
Key clinical points:
- Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
- Side effect profile is predictable and usually manageable with standard protocols
- Monitoring should include baseline labs and follow-up at 3-month intervals
- Patient education significantly improves outcomes and adherence
Standard disclaimer: this is educational, not individualized medical advice.
References:
[1] See thread title for relevant study identification.
[1] See thread title for relevant study identification.
9 19RunnerRach, TrialNerd_Beth, HPLC_Greg and 6 others
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