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Can be used together

What the Clinical Evidence Actually Shows Semax in Humans The human evidence for semax is real but limited in scope

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This vitamin, known as thiamine, is active in its thiamine diphosphate (TDP) form, which is a cofactor of cytosolic transketolase and three mitochondrial enzymes involved in energy production, namely mitochondrial pyruvate dehydrogenase (PDH) [51], -ketoglutarate dehydrogenase (-KGDH) [52], and branched-chain -keto-acid dehydrogenase (BCKDH) [53] (Figure 1)

However, 2-3 times per week you should still practice the weighted heel raises from the rebuilding phase

PMID 15860421