The methionine cycle is responsible for the synthesis of SAM and thus for the majority of all methylation reactions in the body
NAD First When: The primary complaint is fatigue, low energy, or feeling depleted for no identifiable reason Brain fog, difficulty with memory recall, or cognitive slowing that is affecting work or daily function Post-viral recovery (Long COVID, post-Lyme, or similar) where systemic cellular function feels compromised The patient wants a broad, foundational energy intervention before layering anything specific on top Peptides First When: The concern is specific and localized: hair thinning, skin laxity, tendon injury, gut inflammation, or body composition The patient wants to optimize performance in the gym, including muscle gain and fat loss (CJC/Ipamorelin, Tesamorelin, MOTS-C) The goal is targeted repair, for example post-procedure healing or scar reduction The patient is already energetic but wants to enhance a specific system or tissue Combination When: Fatigue AND difficulty concentrating: NAD + Semax addresses both the cellular energy deficit and the cognitive signaling layer Fatigue AND skin/hair concerns: NAD + GHK-Cu covers the systemic energy layer and the specific tissue signaling layer simultaneously The patient has multiple complaints that clearly fall into different categories Optimization patients who want to address cellular health comprehensively rather than one concern at a time What Patients Feel: NAD vs
Popular: Immunity IV, Morning Sickness IV, Breezy Boost, NAD+, Peptide Therapy Florence Correctional Complex Area Florence Correctional Complex Area A significant portion of Florence's workforce is employed at correctional facilities
In order to prevent and treat this condition, folate and vitamin B12 levels must be adequate to quickly metabolize homocysteine and ensure the methylation cycle is unaffected
As an analog of endogenous growth hormone-releasing hormone (GHRH), tesamorelin boasts a metabolism-stimulating activity that has led to its being approved as a treatment for lipodystrophy, or abnormal adipose fat accumulation associated with antiretroviral therapy for HIV.3 But this same activity can help non-HIV individuals shed abdominal fat of their own, while the peptides GHRH properties make it a suitable therapy for people looking to increase their lean mass
