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Count data for the SARP cohort was obtained from Stephanie Christianson (UCSF) and as published recently (47)

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Navigation strategies: Find peptide-friendly physician (functional medicine, anti-aging specialists sometimes more open), educate current doctor with research papers (provide Cerebrolysin glaucoma studies, BPC-157 animal research), emphasize peptides as adjunct not replacement for standard care, agree to rigorous monitoring ensuring no harm, accept that doctor may remain skeptical but willing to monitor, consider changing providers if current doctor completely dismissive, proceed without physician support if necessary though suboptimal, never abandon proven treatments (pressure drops, anti-VEGF) regardless of peptide use

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The clear, cold river water also provides a fine opportunity for fly fishermen to test their skills on trout and bass