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Gastroenterology 132:21312157 Todd JF, Wilding JP, Edwards CM, Khan FA, Ghatei MA, Bloom SR (1997) Glucagon-like peptide-1 (GLP-1): a trial of treatment in non-insulin-dependent diabetes mellitus

Some protocols add a growth-hormone peptide like CJC-1295/Ipamorelin for active adults who want sleep and body-composition benefits alongside recovery

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If the submission timeline holds and the review process follows typical patterns, FDA approval could come in 2027 or 2028

For each of our 10 variable groups (Supplementary Table 5) we optimized xgboost models using fivefold cross-validation and two sequential hyperparameter grids searches with early stopping (972 different parameter combinations for each feature group in total) to predict mean-centered and unit variance-scaled (regularized) TMAO levels in the left-out group using root-mean-square error (RMSE) to evaluate model outcomes