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Date: Wed, 25 Mar 2026 19:24:25 -0400
From: tjphuhs@gmail.com
To: "=?utf-8?Q?oc.tjphuhs=40gmail.com?=" <oc.tjphuhs@gmail.com>
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Subject: Fwd: HGH Peptides Cause Cancer?
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---------- =46orwarded message ----------
=46rom: Hunter Williams <huntershealthhacks=40mail.beehiiv.com>
Date: Mar 25, 2026 at 6:06=E2=80=AFPM -0400
To: tjphuhs=40gmail.com <tjphuhs=40gmail.com>
Subject: HGH Peptides Cause Cancer=3F

> A critical, evidence-based analysis
> March 25, 2026 =C2=A0 =7C =C2=A0 Read online
> HGH Peptides Cause Cancer=3F
> A critical, evidence-based analysis
>
>
>
> Happy Wednesday=21
> I was recording a podcast yesterday with one of the top cardiologists i=
n the country, who is also a huge proponent of peptides (stay tuned, as I=
 will be releasing it soon).
> He referred me to a study that evaluated tesamorelin on liver health.
> JCI Insight - Effects of tesamorelin on hepatic transcriptomic signatur=
es in HIV-associated NA=46LD
> Click here to read the study itself
> insight.jci.org/articles/view/140134
> But in the study, they uncovered something VERY interesting regarding H=
GH and cancer risk.
> You've probably heard it a hundred times. Growth hormone causes cancer.=
 IG=46-1 feeds tumors. If you touch the GH axis, you're playing with fire=
.
> I've always had questions about that framing. Not because I ignore the =
concern. But the blanket statement never sat right with me.
> And today, I=E2=80=99ll walk you through the study that actually went i=
nside the liver and looked at what happens at the gene expression level w=
hen you use tesamorelin for 12 months.
> What they found should change the conversation, especially for anyone u=
sing or considering tesamorelin and/or other GH peptides.
>
> The Study
> This paper was published in JCI Insight in 2020.
> The research team was led by Steven Grinspoon and Raymond Chung at Mass=
achusetts General Hospital and Harvard Medical School. These are serious =
researchers with decades of work in metabolic disease and hepatology.
> They ran a randomized, double-blind, placebo-controlled trial in people=
 living with HIV who also had non-alcoholic fatty liver disease (NA=46LD)=
. One group got tesamorelin 2mg daily. The other got a placebo. =46or 12 =
months.
> But the part that makes this study unique is what came next. They took =
paired liver biopsies. One at the start. One at 12 months. Then they ran =
a full transcriptomic analysis on the tissue. Meaning they looked at the =
expression of every gene in those liver samples.
>
> What They =46ound About Cancer-Related Genes
> This is where it gets interesting.
> The researchers used curated gene sets that predict outcomes in hepatoc=
ellular carcinoma (HCC), which is liver cancer. These gene signatures hav=
e been validated in prior research to correlate with either a favorable o=
r a poor cancer prognosis.
> Tesamorelin upregulated the genes associated with a favorable HCC progn=
osis. And it downregulated the genes associated with poor HCC prognosis.
> Read that again. The gene expression profile shifted toward a protectiv=
e pattern against liver cancer. Not a promotional one.
> The favorable genes that went up were mostly normal liver housekeeping =
functions. Bile acid metabolism. Detoxification enzymes. Transport protei=
ns. Lipoprotein metabolism. These are signatures of a healthy, well-funct=
ioning liver.
> The unfavorable genes that decreased included hepatic stellate cell act=
ivation markers and fibrogenic growth factor signaling, such as PDG=46RB =
and HG=46. These are the genes you don't want turned on because they're a=
ssociated with fibrosis progression and cancer development.
>
> Cell Division
> =46our major gene sets involved in cell proliferation were suppressed b=
y tesamorelin compared to placebo.
> These included G2M checkpoint genes, E2=46 targets, mitotic spindle ass=
embly genes, and KRAS signaling. The proliferation marker Ki-67 (MKI67) w=
as also downregulated.
> If you're not familiar with these pathways, here's the simple version. =
Uncontrolled cell division is one of the fundamental hallmarks of cancer.=
 Every oncology textbook starts there. Cells that won't stop dividing eve=
ntually form tumors.
> Tesamorelin didn't accelerate cell division. It slowed it down.
> The researchers also found that minichromosome maintenance genes MCM2 a=
nd MCM6 were downregulated. These specific genes have been shown in separ=
ate studies to be elevated in liver cancer and associated with worse surv=
ival outcomes.
>
> The Inflammation and =46ibrosis Connection
> =46ive inflammatory gene pathways were suppressed by tesamorelin. These=
 included TN=46-alpha/N=46-kB signaling and IL-6/JAK/STAT3 signaling.
> Both of those pathways are heavily implicated in the progression from c=
hronic liver inflammation to liver cancer. The inflammation-to-cancer pip=
eline in the liver is well documented. Reduce inflammation, and you reduc=
e one of the major drivers of cancer risk.
> On top of that, tesamorelin downregulated TG=46-beta signaling and epit=
helial-mesenchymal transition (EMT). EMT is a process in which normal cel=
ls begin to behave like mesenchymal cells.
> This is a key mechanism in cancer metastasis and progression. TG=46-bet=
a is the master regulator of fibrosis and also drives cancer progression.=

> Tesamorelin also suppressed the YAP/TAZ signaling pathway. YAP/TAZ is a=
 well-documented driver of both fibrosis and carcinogenesis in the liver.=

> Every single cancer-relevant pathway they measured moved in the favorab=
le direction.
>
> But What About IG=46-1=3F
> The authors addressed the theoretical concern that raising GH and IG=46=
-1 could increase cancer risk.
> Tesamorelin is a GHRH analog. It doesn't directly inject growth hormone=
. It stimulates your hypothalamus to release GH in a pulsatile pattern. T=
he way your body was designed to produce it.
> When you use tesamorelin, IG=46-1 levels rise, but remain within the no=
rmal physiological range.
> This is fundamentally different from supraphysiologic abuse of exogenou=
s GH, where IG=46-1 can spike well above normal and healthy levels.
> The cancer concern with the GH/IG=46-1 axis has always been about chron=
ically elevated, supraphysiologic levels. Not about restoring normal puls=
atile secretion. Tesamorelin does the latter.
>
> =46inal Thoughts
> I'm won=E2=80=99t sit here and tell you tesamorelin is guaranteed to be=
 cancer-free. No compound has that guarantee. And this study has limitati=
ons.
> The sample size was small. 18 tesamorelin and 21 placebo participants. =
The population was HIV-positive with NA=46LD, which means we can't automa=
tically generalize these findings to otherwise healthy people.
> The study lasted 12 months, which is short relative to cancer timelines=
. And gene expression changes don't always translate directly to clinical=
 outcomes.
> But here's what I keep coming back to.
> Harvard researchers took actual liver tissue, ran whole-transcriptome a=
nalysis, and looked at what tesamorelin was doing at the molecular level.=
 Across every cancer-relevant pathway they measured, the direction was fa=
vorable.
> Oxidative phosphorylation went up. Inflammation went down. Cell prolife=
ration went down. =46ibrotic signaling went down. Cancer-favorable gene s=
ignatures went up. Cancer-unfavorable gene signatures went down.
> So the next time you hear that =E2=80=9CHGH peptides cause cancer=21=E2=
=80=9D just forward them this study.
> And more importantly, if you use or are considering using tesamorelin, =
know that the real data we have show positive benefits, especially in the=
 context of cancer.
> Thank you for being a reader of my work=21
> Best,
> Hunter Williams
>
> =46urther Reading
> =46ourman LT, Billingsley JM, Agyapong G, et al. Effects of tesamorelin=
 on hepatic transcriptomic signatures in HIV-associated NA=46LD. JCI Insi=
ght. 2020;5(16):e140134. doi:10.1172/jci.insight.140134
> Want more=3F Here=E2=80=99s how you can work with me:
> =F0=9F=91=89Join my private coaching group, The AXION Collective:
>
> =E2=80=A2 > The AXION Collective
>
> =F0=9F=91=89Try Zeroats, the world=E2=80=99s first sugar-free, naturall=
y flavored oatmeal:
>
> =E2=80=A2 > Store:=C2=A0https://zeroats.com/
> =E2=80=A2 > Amazon:=C2=A0https://a.co/d/2gq1zJ9
>
> =F0=9F=91=89Link To All My Old Videos:
>
> =E2=80=A2 > DropBox with all videos
>
> =F0=9F=91=89Audio Versions of All Videos:
>
> =E2=80=A2 > Itunes
> =E2=80=A2 > Spotify
>
> =F0=9F=91=89Get the Peptide Cheat Sheet:
>
> =E2=80=A2 > Peptide Cheat Sheet
>
> =F0=9F=91=89All my daily essentials on Amazon
>
> =E2=80=A2 > Amazon Storefront
>
> =F0=9F=91=89Get discounts on your favorite peptides and research chemic=
als:
>
> =E2=80=A2 > PEPTIDES
>     =E2=80=A2 > BioLongevity Labs (use code hunterw for 15% off):=C2=A0=
https://biolongevitylabs.com/
>
> =F0=9F=91=8910% off the BEST workout supplements from Unmatched Supps (=
pre-workout, whey protein, creatine, EAAs, electrolytes - use code HUNTER=
W at checkout):
>
> =E2=80=A2 > https://www.unmatchedsupps.com=3Fsca=5Fref=3D8677061.S6mh8S=
OsogBzjOO
>
> =F0=9F=91=89Submit A Video Topic =46or My Next YouTube Video:
>
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>
> Update your email preferences or unsubscribe here
> =C2=A9 2026 Hunter's Health Hacks
> 228 Park Ave S, =2329976, New York, New York 10003, United States
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<div name=3D=22messageReplySection=22>---------- =46orwarded message ----=
------<br />
<b>=46rom:</b> Hunter Williams &lt;huntershealthhacks=40mail.beehiiv.com&=
gt;<br />
<b>Date:</b> Mar 25, 2026 at 6:06=E2=80=AFPM -0400<br />
<b>To:</b> tjphuhs=40gmail.com &lt;tjphuhs=40gmail.com&gt;<br />
<b>Subject:</b> HGH Peptides Cause Cancer=3F<br />
<br />
<blockquote type=3D=22cite=22>
<div role=3D=22article=22 aria-roledescription=3D=22email=22 aria-label=3D=
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=22en=22>
<div style=3D=22display:none;max-height:0px;overflow:hidden;=22>A critica=
l, evidence-based analysis &=23160;=E2=80=8C&=23160;=E2=80=8C&=23160;=E2=80=
=8C&=23160;=E2=80=8C&=23160;=E2=80=8C&=23160;=E2=80=8C&=23160;=E2=80=8C&=23=
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<p>March 25, 2026 &=23160; =7C &=23160; <a data-read-online-tooltip=3D=22=
true=22 href=3D=22https://link.mail.beehiiv.com/v1/c/K9CvaWEKahXX=462Jhf5=
Al1cHNQpXU2f3IwnLGYNm4a9YXTxQUdxbRCia%2=462uh4%0Akf8g0h=46e3DQwqhVxirtygO=
o6dpZ4BkzDTAGClqZQT2SngD%2=46ihtuv46AdnCh%2B%0AvOxLISI3Ly5JWeMWjDv=46xSm4=
uLrgJd7hs=46xB=46N22RAYj%2BIWXrVE%3D%0A/e8dc6aaba19a5e12=22>Read online</=
a></p>
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<td class=3D=22dd=22 align=3D=22center=22 valign=3D=22top=22 style=3D=22p=
adding:15px 0;=22>
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<h1 style=3D=22text-align:left;font-family:'Trebuchet MS','Lucida Grande'=
,Tahoma,sans-serif;font-weight:Bold;font-size:32px;color:=232A2A2A;paddin=
g:2px 0;line-height:38px;=22>HGH Peptides Cause Cancer=3F</h1>
<p style=3D=22text-align:left;font-family:'Helvetica',Arial,sans-serif;fo=
nt-weight:normal;font-size:20px;color:=233E3E3E;padding:5px 0;line-height=
:24px;=22>A critical, evidence-based analysis</p>
</td>
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ng=3D=220=22 align=3D=22right=22 class=3D=22social-mobile=22>
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ng=3D=220=22 align=3D=22left=22 style=3D=22width:100%=22>
<tr>
<td align=3D=22center=22 valign=3D=22middle=22><a href=3D=22https://link.=
mail.beehiiv.com/v1/c/JZk0vglAWI8Rdz5CMzxzCitI95jQ%2BrtqMOoUGO46tGiRh8tSM=
Th37QqYY704%0Aka5pyYHwEO%2B0nzprXaV6S%2BG%2=46MDfJ5tPdbt1i9B8mq2ktpGzwQCk=
y3eayb4K4%0Az4enW8l6N8vEYmMW6JNhJfGX=46puCDWm79t=46bYXEgw7HawGKZyTc%3D%0A=
/21cf0bdb5ea6114c=22 style=3D=22text-decoration:none; display:block;=22>
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id =23E5E7EB; border-radius: 100%; width: 18px; height: 18px; padding: 8p=
x;=22><img style=3D=22display:block; width:100%; height:100%; max-width:1=
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<td width=3D=228=22 style=3D=22width:8px;=22>&=23160;</td>
<td align=3D=22center=22 valign=3D=22middle=22><a href=3D=22https://link.=
mail.beehiiv.com/v1/c/VElZQ4TxmGZb%2=46lJQnhTHPfiU3O0SXuTKEm9=46Je8mJQTeE=
j2WDhdwmWDJxmkd%0AxWQkks0qPvR1cGSpx3jBnagr=46SKVTpi6zyB9H4IkT=46pNJ5%2=46=
Qn6R7JGlWeKI9%0A3ssR9w=46s9Oo=46tqDveLBnluWILbfee9c0IQPZkDEObtPfCc5cwv4%3=
D%0A/fa4fb570dffc7549=22 style=3D=22text-decoration:none; display:block;=22=
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ng=3D=220=22 align=3D=22center=22>
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id =23E5E7EB; border-radius: 100%; width: 18px; height: 18px; padding: 8p=
x;=22><img style=3D=22display:block; width:100%; height:100%; max-width:1=
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irect,quality=3D80/static=5Fassets/header/x.png=22 /></td>
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</a></td>
<td width=3D=228=22 style=3D=22width:8px;=22>&=23160;</td>
<td align=3D=22center=22 valign=3D=22middle=22><a href=3D=22https://link.=
mail.beehiiv.com/v1/c/N47BUrk1wm7yLmmAgjrk7QfLO9EemsRHB5hSGqV%2=46vRr=46h=
AgEnTwPLeosfK8R%0Ajw5LAXvmjLC4bWSVG1pHthsQv9AhWU4fz%2BYqN7pn=46QizqRHGHLr=
SswpQwINh%0A0%2=46zWDvD%2BT%2Bo0qgVDfH8d6oSeAjk3Nc3Bv6B3EtUj%2=46SwSvVOr3=
lc%3D%0A/68a31c3ba22fbd97=22 style=3D=22text-decoration:none; display:blo=
ck;=22>
<table role=3D=22none=22 border=3D=220=22 cellspacing=3D=220=22 cellpaddi=
ng=3D=220=22 align=3D=22center=22>
<tr>
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id =23E5E7EB; border-radius: 100%; width: 18px; height: 18px; padding: 8p=
x;=22><img style=3D=22display:block; width:100%; height:100%; max-width:1=
8px; max-height:18px; object-fit: contain;=22 alt=3D=22share on threads=22=
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<td width=3D=228=22 style=3D=22width:8px;=22>&=23160;</td>
<td align=3D=22center=22 valign=3D=22middle=22><a href=3D=22https://link.=
mail.beehiiv.com/v1/c/l%2BvKXIk0VrvLmkJxkfwHeXcdXG=46iglJ%2=46I3YY5Cw5ECs=
zi5VzdGnpZ4iR1K%2Bb%0As9THKjCqWfTJdsM%2BOAinaoBBcyXcHKEXkV%2=46jz%2BukS0%=
2B0uSH%2B6mcPTSl1LIJq%0AZ%2=46E%2=46q1WsBldEpfB6KthE3zyZOVy9cZt4ouoofMfG6=
wLGjeTDH8Q%3D%0A/1d54ba3c93cea51a=22 style=3D=22text-decoration:none; dis=
play:block;=22>
<table role=3D=22none=22 border=3D=220=22 cellspacing=3D=220=22 cellpaddi=
ng=3D=220=22 align=3D=22center=22>
<tr>
<td align=3D=22center=22 valign=3D=22middle=22 style=3D=22border: 1px sol=
id =23E5E7EB; border-radius: 100%; width: 18px; height: 18px; padding: 8p=
x;=22><img style=3D=22display:block; width:100%; height:100%; max-width:1=
8px; max-height:18px; object-fit: contain;=22 alt=3D=22share on linkedin=22=
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irect,quality=3D80/static=5Fassets/header/linkedin.png=22 /></td>
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</a></td>
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<td style=3D=22line-height:0;=22>
<div data-open-tracking=3D=22true=22><img src=3D=22https://link.mail.beeh=
iiv.com/v1/o/RPD=46%2BjbRo%2=464idEiVQ9M9yAWv2JOz8J17EjrKnmCts64CsasSPBpA=
JgubjWmb%0AT3il7%2B3Lb9JYu9UZt699V=46svbt84Xo30mndUP6WB3=46ZPDq8xwkAe2D=46=
7MRTQ%0ApAVJqUhoM1CX%2BE=46h7i7V3hAjLi93XJZbj7zb%2BqOODjOTrXlC125gBwNpeOk=
=46%0A4S0MBkpJa86yhHUM2E=4647n%2=46p1O3pXAQexe6xyScM3dY68AhiLIGmUcJUwwok%=
0AgyzSnuK0uoYfjjyUja=46JVA1o7x3gwcP7CZbqchtPDA%2B=46i7hjvp0ZvQqeH3Vq%0Ape=
ZaIoO6RDk44lvQJhH7vHp=465fMfEBe8eTuE3eJcSPmIgatcgraArtmUBYL6%0Aa1s9VC%2=46=
dLy7hZErfJfheYUh4aunETHYj6Iu0yix5Mr%2=46vcCGbu1wDt2JTkqi0%0Ap2XdB3XD4M1QD=
gjjq8sbaP2Kmp7l%0A/d00ec408cf5763b7.gif=22 alt=3D=22=22 width=3D=221=22 h=
eight=3D=221=22 style=3D=22display:block;border:0;outline:0;=22 /></div>
</td>
</tr>
</table>
</div>
</td>
</tr>
<tr id=3D=22content-blocks=22>
<td class=3D=22email-card-body=22 align=3D=22center=22 valign=3D=22top=22=
 style=3D=22padding-bottom:px;=22>
<table role=3D=22none=22 width=3D=22100%=22 border=3D=220=22 cellspacing=3D=
=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Happy Wednesday=21</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>I was recording a podcast yesterday with one of the top cardiol=
ogists in the country, who is also a huge proponent of peptides (stay tun=
ed, as I will be releasing it soon).</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>He referred me</span> <span style=3D=22font-size:1.5rem;=22><a =
class=3D=22link=22 href=3D=22https://link.mail.beehiiv.com/v1/c/%2B5VSdPT=
lsWCckEo342Ve0C2Dkjh%2B4D7JVHuRX86wgqgdv7rsOY3=46KjjxKbYg%0AnjEJKtd11YZL5=
M2jw2wvO8Mj9oESyoEeamM3oPrmZa8oKh6BWmfJceOZEB1A%0A7yqVb6eNx%2=46TNnc5h1Dl=
QR3x38bBSNUl=46Xj1jIYDiIWQfyIV9pyk%3D%0A/e4000028a4aa8a5f=22 target=3D=22=
=5Fblank=22 rel=3D=22noopener noreferrer nofollow=22><span>to a study</sp=
an></a></span> <span style=3D=22font-size:1.5rem;=22>that evaluated tesam=
orelin on liver health.</span></p>
</td>
</tr>
<tr class=3D=22embed-gen-text=22>
<td align=3D=22center=22 valign=3D=22top=22 style=3D=22padding:12px 27px =
12px 27px;=22 class=3D=22dd=22>
<table role=3D=22none=22 width=3D=22100%=22 border=3D=220=22 cellspacing=3D=
=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td align=3D=22center=22 valign=3D=22top=22 class=3D=22o=22 style=3D=22pa=
dding:12px 12px 12px 12px;;background-color:=23=46=46=46=46=46=46;border-=
color:=23=461=461=461;border-radius:5px 5px 5px 5px;border-width:1px 1px =
1px 1px;=22>
<table role=3D=22none=22 width=3D=22100%=22 border=3D=220=22 cellspacing=3D=
=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td align=3D=22left=22 valign=3D=22top=22 class=3D=22l=22>
<p><a href=3D=22https://link.mail.beehiiv.com/v1/c/L6P5HzV=46u1=46Osg2KAy=
Y%2=46vHIIe%2=46tEWMa3CcveSgxXlckYho6Vlo7CKuTALQK1%0A%2BbRZjv3cozCDgYEeiY=
kdiruf3YEp9HxxP%2=46nl4Mz=46%2BE7fxvK=468sk3yN2VqpB=46%0AB37Gkyr9lLxXaKsD=
iKgu9%2BI5C4ydI9LlsGrtQpWM0cehyWMEgcI%3D%0A/f11fab65dd99979f=22 style=3D=22=
text-decoration:none;font-style:normal;color:=232D2D2D =21important;font-=
size:14px;line-height:20px;=22 target=3D=22=5Fblank=22>JCI Insight - Effe=
cts of tesamorelin on hepatic transcriptomic signatures in HIV-associated=
 NA=46LD
<table>
<tr>
<td align=3D=22left=22 valign=3D=22top=22 class=3D=22m=22><span style=3D=22=
font-size:13px;line-height:19px;color:=232D2D2D;=22>Click here to read th=
e study itself</span></td>
</tr>
<tr>
<td align=3D=22left=22 valign=3D=22bottom=22 class=3D=22n=22 style=3D=22v=
ertical-align:bottom;padding-top:12px;=22><span style=3D=22word-break:bre=
ak-word;=22>insight.jci.org/articles/view/140134</span></td>
</tr>
</table>
</a></p>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>But in the study, they uncovered something VERY interesting reg=
arding HGH and cancer risk.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>You've probably heard it a hundred times. Growth hormone causes=
 cancer. IG=46-1 feeds tumors. If you touch the GH axis, you're playing w=
ith fire.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>I've always had questions about that framing. Not because I ign=
ore the concern. But the blanket statement never sat right with me.</span=
></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>And today, I=E2=80=99ll walk you through the study that actuall=
y went inside the liver and looked at what happens at the gene expression=
 level when you use tesamorelin for 12 months.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>What they found should change the conversation, especially for =
anyone using or considering tesamorelin and/or other GH peptides.</span><=
/p>
</td>
</tr>
<tr>
<td align=3D=22center=22 valign=3D=22top=22 style=3D=22font-size:0px;line=
-height:0px;padding:30px 0px 30px;=22 class=3D=22dd=22>
<table class=3D=22j=22 role=3D=22none=22 width=3D=2250%=22 border=3D=220=22=
 cellspacing=3D=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td>&=23160;</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22><b>The Study</b></span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>This paper was published in JCI Insight in 2020.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>The research team was led by Steven Grinspoon and Raymond Chung=
 at Massachusetts General Hospital and Harvard Medical School. These are =
serious researchers with decades of work in metabolic disease and hepatol=
ogy.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>They ran a randomized, double-blind, placebo-controlled trial i=
n people living with HIV who also had non-alcoholic fatty liver disease (=
NA=46LD). One group got tesamorelin 2mg daily. The other got a placebo. =46=
or 12 months.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>But the part that makes this study unique is what came next. Th=
ey took paired liver biopsies. One at the start. One at 12 months. Then t=
hey ran a full transcriptomic analysis on the tissue. Meaning they looked=
 at the expression of every gene in those liver samples.</span></p>
</td>
</tr>
<tr>
<td align=3D=22center=22 valign=3D=22top=22 style=3D=22font-size:0px;line=
-height:0px;padding:30px 0px 30px;=22 class=3D=22dd=22>
<table class=3D=22j=22 role=3D=22none=22 width=3D=2250%=22 border=3D=220=22=
 cellspacing=3D=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td>&=23160;</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22><b>What They =46ound About Cancer-Related Genes</b></span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>This is where it gets interesting.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>The researchers used curated gene sets that predict outcomes in=
 hepatocellular carcinoma (HCC), which is liver cancer. These gene signat=
ures have been validated in prior research to correlate with either a fav=
orable or a poor cancer prognosis.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Tesamorelin upregulated the genes associated with a favorable H=
CC prognosis. And it downregulated the genes associated with poor HCC pro=
gnosis.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Read that again. The gene expression profile shifted</span> <sp=
an style=3D=22font-size:1.5rem;=22><i>toward a protective pattern</i></sp=
an> <span style=3D=22font-size:1.5rem;=22>against liver cancer.</span> <s=
pan style=3D=22font-size:1.5rem;=22><i>Not a promotional one.</i></span><=
/p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>The favorable genes that went up were mostly normal liver house=
keeping functions. Bile acid metabolism. Detoxification enzymes. Transpor=
t proteins. Lipoprotein metabolism. These are signatures of a healthy, we=
ll-functioning liver.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>The unfavorable genes that decreased included hepatic stellate =
cell activation markers and fibrogenic growth factor signaling, such as P=
DG=46RB and HG=46. These are the genes you don't want turned on because t=
hey're associated with fibrosis progression and cancer development.</span=
></p>
</td>
</tr>
<tr>
<td align=3D=22center=22 valign=3D=22top=22 style=3D=22font-size:0px;line=
-height:0px;padding:30px 0px 30px;=22 class=3D=22dd=22>
<table class=3D=22j=22 role=3D=22none=22 width=3D=2250%=22 border=3D=220=22=
 cellspacing=3D=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td>&=23160;</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22><b>Cell Division</b></span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>=46our major gene sets involved in cell proliferation were supp=
ressed by tesamorelin compared to placebo.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>These included G2M checkpoint genes, E2=46 targets, mitotic spi=
ndle assembly genes, and KRAS signaling. The proliferation marker Ki-67 (=
MKI67) was also downregulated.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>If you're not familiar with these pathways, here's the simple v=
ersion. Uncontrolled cell division is one of the fundamental hallmarks of=
 cancer. Every oncology textbook starts there. Cells that won't stop divi=
ding eventually form tumors.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Tesamorelin didn't accelerate cell division. It slowed it down.=
</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>The researchers also found that minichromosome maintenance gene=
s MCM2 and MCM6 were downregulated. These specific genes have been shown =
in separate studies to be elevated in liver cancer and associated with wo=
rse survival outcomes.</span></p>
</td>
</tr>
<tr>
<td align=3D=22center=22 valign=3D=22top=22 style=3D=22font-size:0px;line=
-height:0px;padding:30px 0px 30px;=22 class=3D=22dd=22>
<table class=3D=22j=22 role=3D=22none=22 width=3D=2250%=22 border=3D=220=22=
 cellspacing=3D=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td>&=23160;</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22><b>The Inflammation and =46ibrosis Connection</b></span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>=46ive inflammatory gene pathways were suppressed by tesamoreli=
n. These included TN=46-alpha/N=46-kB signaling and IL-6/JAK/STAT3 signal=
ing.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Both of those pathways are heavily implicated in the progressio=
n from chronic liver inflammation to liver cancer. The inflammation-to-ca=
ncer pipeline in the liver is well documented. Reduce inflammation, and y=
ou reduce one of the major drivers of cancer risk.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>On top of that, tesamorelin downregulated TG=46-beta signaling =
and epithelial-mesenchymal transition (EMT). EMT is a process in which no=
rmal cells begin to behave like mesenchymal cells.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>This is a key mechanism in cancer metastasis and progression. T=
G=46-beta is the master regulator of fibrosis and also drives cancer prog=
ression.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Tesamorelin also suppressed the YAP/TAZ signaling pathway. YAP/=
TAZ is a well-documented driver of both fibrosis and carcinogenesis in th=
e liver.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Every single cancer-relevant pathway they measured moved in the=
 favorable direction.</span></p>
</td>
</tr>
<tr>
<td align=3D=22center=22 valign=3D=22top=22 style=3D=22font-size:0px;line=
-height:0px;padding:30px 0px 30px;=22 class=3D=22dd=22>
<table class=3D=22j=22 role=3D=22none=22 width=3D=2250%=22 border=3D=220=22=
 cellspacing=3D=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td>&=23160;</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22><b>But What About IG=46-1=3F</b></span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>The authors addressed the theoretical concern that raising GH a=
nd IG=46-1 could increase cancer risk.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Tesamorelin is a GHRH analog. It doesn't directly inject growth=
 hormone. It stimulates your hypothalamus to release GH in a pulsatile pa=
ttern. The way your body was designed to produce it.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>When you use tesamorelin, IG=46-1 levels rise, but remain withi=
n the normal physiological range.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>This is fundamentally different from supraphysiologic abuse of =
exogenous GH, where IG=46-1 can spike well above normal and healthy level=
s.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>The cancer concern with the GH/IG=46-1 axis has always been abo=
ut chronically elevated, supraphysiologic levels. Not about restoring nor=
mal pulsatile secretion. Tesamorelin does the latter.</span></p>
</td>
</tr>
<tr>
<td align=3D=22center=22 valign=3D=22top=22 style=3D=22font-size:0px;line=
-height:0px;padding:30px 0px 30px;=22 class=3D=22dd=22>
<table class=3D=22j=22 role=3D=22none=22 width=3D=2250%=22 border=3D=220=22=
 cellspacing=3D=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td>&=23160;</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22><b>=46inal Thoughts</b></span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>I'm won=E2=80=99t sit here and tell you tesamorelin is guarante=
ed to be cancer-free. No compound has that guarantee. And this study has =
limitations.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>The sample size was small. 18 tesamorelin and 21 placebo partic=
ipants. The population was HIV-positive with NA=46LD, which means we can'=
t automatically generalize these findings to otherwise healthy people.</s=
pan></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>The study lasted 12 months, which is short relative to cancer t=
imelines. And gene expression changes don't always translate directly to =
clinical outcomes.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>But here's what I keep coming back to.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Harvard researchers took actual liver tissue, ran whole-transcr=
iptome analysis, and looked at what tesamorelin was doing at the molecula=
r level. Across every cancer-relevant pathway they measured, the directio=
n was favorable.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Oxidative phosphorylation went up. Inflammation went down. Cell=
 proliferation went down. =46ibrotic signaling went down. Cancer-favorabl=
e gene signatures went up. Cancer-unfavorable gene signatures went down.<=
/span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>So the next time you hear that =E2=80=9CHGH peptides cause canc=
er=21=E2=80=9D just forward them this study.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>And more importantly, if you use or are considering using tesam=
orelin, know that the real data we have show positive benefits, especiall=
y in the context of cancer.</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Thank you for being a reader of my work=21</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Best,</span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22>Hunter Williams</span></p>
</td>
</tr>
<tr>
<td align=3D=22center=22 valign=3D=22top=22 style=3D=22font-size:0px;line=
-height:0px;padding:30px 0px 30px;=22 class=3D=22dd=22>
<table class=3D=22j=22 role=3D=22none=22 width=3D=2250%=22 border=3D=220=22=
 cellspacing=3D=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td>&=23160;</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22><b>=46urther Reading</b></span></p>
</td>
</tr>
<tr>
<td class=3D=22dd=22 align=3D=22left=22 style=3D=22padding:0px 15px;text-=
align:left;word-break:break-word;=22>
<p style=3D=22mso-line-height-alt:150.0%;=22><span style=3D=22font-size:1=
.5rem;=22><a class=3D=22link=22 href=3D=22https://link.mail.beehiiv.com/v=
1/c/EJyRkyR0AW%2=46CGOWob3OhPGZ%2B72tm90ZA62xY7BYRN2HEs%2=460a2NfsMrMbcR=46=
K%0AG3S9wRuX48%2=46QVq3ii8bYekJkc7cBa6V7J4XB=46pcEEOv1%2BDQShWD4225NLnfl%=
0AWCq8plODRRo%2=46kbrHetC=465slrcPMM3sAjBSZ7Nuuo75tfnHZxxkc%3D%0A/43bfc66=
5205677cf=22 target=3D=22=5Fblank=22 rel=3D=22noopener noreferrer nofollo=
w=22><span><i>=46ourman LT, Billingsley JM, Agyapong G, et al. Effects of=
 tesamorelin on hepatic transcriptomic signatures in HIV-associated NA=46=
LD. JCI Insight. 2020;5(16):e140134. doi:10.1172/jci.insight.140134</i></=
span></a></span></p>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td align=3D=22center=22 valign=3D=22top=22>
<table role=3D=22none=22 width=3D=22100%=22 border=3D=220=22 cellspacing=3D=
=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td></td>
</tr>
<tr>
<td class=3D=22b=22 align=3D=22center=22 valign=3D=22top=22 bgcolor=3D=22=
=23=46=46=46=46=46=46=22 style=3D=22padding:0px 0px 0px 0px;border-style:=
solid;border-width: 0px 0px 0px 0px;border-color: =23=46=46=46=46=46=46;b=
order-bottom-left-radius:10px;border-bottom-right-radius:10px;=22>
<table role=3D=22none=22 width=3D=22100%=22 border=3D=220=22 cellspacing=3D=
=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td align=3D=22center=22 valign=3D=22top=22 bgcolor=3D=22=23030712=22 sty=
le=3D=22padding:12px=22>
<table role=3D=22none=22 width=3D=22100%=22 border=3D=220=22 cellspacing=3D=
=220=22 cellpadding=3D=220=22 align=3D=22center=22>
<tr>
<td><span style=3D=22padding-left:1px;=22></span></td>
<td align=3D=22center=22 valign=3D=22middle=22 width=3D=2275=22 style=3D=22=
width:75px;=22><a href=3D=22https://link.mail.beehiiv.com/v1/c/UlmT4uZdWc=
6eUEPvQaiu4gCbJrq6aPCw1Gfu%2Bj4wutBBbp%2=46ydlZVTkpU68SP%0Ad7W7iMubKqK4TW=
EXz1l%2BDLR7RXlTDw1jwzneS6ne%2BwMM62S98VB2%2=46xhIlNff%0AckwlCoYdoqExoAeR=
9UmOnHG4b%2=46Vak%2=46Sbx01sGxQfOGbHnuOfjWw%3D%0A/66dfe65d147a6213=22 sty=
le=3D=22text-decoration:none;=22><img width=3D=2222=22 height=3D=2222=22 =
alt=3D=22ig=22 border=3D=220=22 style=3D=22display:block;max-width:22px;c=
olor:light=22 src=3D=22https://media.beehiiv.com/cdn-cgi/image/fit=3Dscal=
e-down,format=3Dauto,onerror=3Dredirect,quality=3D80/static=5Fassets/inst=
agram=5Flight.png=22 /></a></td>
<td align=3D=22center=22 valign=3D=22middle=22 width=3D=2275=22 style=3D=22=
width:75px;=22><a href=3D=22https://link.mail.beehiiv.com/v1/c/icpDZaMY4O=
wL4wHvAGYM84jKvbcuceBP3=46aI=46v=46ADbJVx%2BHZskl%2=46PWnBUjms%0ALjjKM1Qh=
Yk7LCQZQ06jD4WMgPfq6fnXZEHHy2UNe%2=46s6ARzwuV5dGOdRINSMp%0A%2B=46A52ojRZf=
xnuVTMz9kvv2YT74WbO6gw5GK9B6lStg%2B4OW%2=46LcPQ%3D%0A/61de7b335e4d4d95=22=
 style=3D=22text-decoration:none;=22><img width=3D=2222=22 height=3D=2216=
=22 alt=3D=22yt=22 border=3D=220=22 style=3D=22display:block;max-width:22=
px;color:light=22 src=3D=22https://media.beehiiv.com/cdn-cgi/image/fit=3D=
scale-down,format=3Dauto,onerror=3Dredirect,quality=3D80/static=5Fassets/=
youtube=5Flight.png=22 /></a></td>
<td><span style=3D=22padding-left:1px;=22></span></td>
</tr>
</table>
</td>
</tr>
<tr>
<td align=3D=22center=22 valign=3D=22top=22 style=3D=22padding-bottom:20p=
x;padding-left:15px;padding-right:15px;padding-top:20px;=22 class=3D=22dd=
=22>
<table role=3D=22none=22 border=3D=220=22 cellspacing=3D=220=22 cellpaddi=
ng=3D=220=22 style=3D=22margin:0 auto 0 auto;=22>
<tr>
<td align=3D=22center=22 valign=3D=22top=22 style=3D=22width:189px;=22><i=
mg src=3D=22https://media.beehiiv.com/cdn-cgi/image/fit=3Dscale-down,form=
at=3Dauto,onerror=3Dredirect,quality=3D80/uploads/asset/file/77285135-fcd=
3-48e6-afed-97045dbefd05/beehiiv=5Fprofile=5Fphoto=5Flarge.png=3Ft=3D1744=
125569=22 alt=3D=22=22 height=3D=22auto=22 width=3D=22189=22 style=3D=22d=
isplay:block;width:100%;border-radius:0px 0px 0px 0px;border-style:solid;=
border-width:0px 0px 0px 0px;box-sizing:border-box;border-color:=23E5E7EB=
;=22 border=3D=220=22 /></td>
</tr>
</table>
</td>
</tr>
<tr>
<td id=3D=22want-more-heres-how-you-can-work-wi=22 class=3D=22dd=22 align=
=3D=22center=22 valign=3D=22top=22 style=3D=22color:=232A2A2A;font-weight=
:normal;padding:0px 15px;text-align:center;=22>
<h2 style=3D=22color:=232A2A2A;font-weight:normal;mso-line-height-alt:150=
.0%;=22><span style=3D=22font-size:1.5rem;=22>Want more=3F Here=E2=80=99s=
 how you can work with me:</span></h2>
</td>
</tr>
<tr>
<td id=3D=22join-my-private-coaching-group-the-=22 class=3D=22dd=22 align=
=3D=22left=22 valign=3D=22top=22 style=3D=22color:=232A2A2A;font-weight:n=
ormal;padding:0px 15px;text-align:left;=22>
<h4 style=3D=22color:=232A2A2A;font-weight:normal;mso-line-height-alt:112=
.5%;=22><span style=3D=22font-size:1.5rem;=22>=F0=9F=91=89Join my private=
 coaching group, The AXION Collective:</span></h4>
</td>
</tr>
<tr>
<td style=3D=22padding-bottom:12px;padding-left:37px;padding-right:27px;p=
adding-top:12px;=22 class=3D=22ee=22>
<div style=3D=22margin-left:0px;=22 class=3D=22edm=5Foutlooklist=22>
<ul style=3D=22font-weight:normal;list-style-type:disc;margin-bottom:12px=
 =21important;margin-top:12px =21important;padding:0px 0px 0px 0px;=22>
<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22font-size:1.5rem;=22><a class=3D=22=
link=22 href=3D=22https://link.mail.beehiiv.com/v1/c/BHDsh8oHY9wIwRRLsRtu=
em4A6YzoAgiVS1233%2=46B3jjm3QR=46WQEUOYySCr%2Bwz%0ARQh9wbBK2v7z4s8rEtlJW5=
Ya=46N6GV8quSzq5wwLmf9DDogQPhCB3N2AfgASt%0ADfUlP9p1cHyacA%2BOiXh6HY%2=46P=
JJdJAjxPBMvlk3O%2=46r%2=46XqXZ%2B%2B2uA%3D%0A/898bef85039894cb=22 target=3D=
=22=5Fblank=22 rel=3D=22noopener noreferrer nofollow=22><span>The AXION C=
ollective</span></a></span></p>
</li>
</ul>
</div>
</td>
</tr>
<tr>
<td id=3D=22try-zeroats-the-worlds-first-sugarf=22 class=3D=22dd=22 align=
=3D=22left=22 valign=3D=22top=22 style=3D=22color:=232A2A2A;font-weight:n=
ormal;padding:0px 15px;text-align:left;=22>
<h4 style=3D=22color:=232A2A2A;font-weight:normal;mso-line-height-alt:112=
.5%;=22><span style=3D=22font-size:1.5rem;=22>=F0=9F=91=89Try Zeroats, th=
e world=E2=80=99s first sugar-free, naturally flavored oatmeal:</span></h=
4>
</td>
</tr>
<tr>
<td style=3D=22padding-bottom:12px;padding-left:37px;padding-right:27px;p=
adding-top:12px;=22 class=3D=22ee=22>
<div style=3D=22margin-left:0px;=22 class=3D=22edm=5Foutlooklist=22>
<ul style=3D=22font-weight:normal;list-style-type:disc;margin-bottom:12px=
 =21important;margin-top:12px =21important;padding:0px 0px 0px 0px;=22>
<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22font-size:1.5rem;=22>Store:&=23160=
;</span><span style=3D=22font-size:1.5rem;=22><a class=3D=22link=22 href=3D=
=22https://link.mail.beehiiv.com/v1/c/A93P6SHwSS%2=46q4ILdyTchuYShZGA7qkt=
64WLaX9kv=4637mAbLRfb3Idbce1roV%0AbQ1gWsGBuKHmgWMo5BYOs%2=46UhrhNzRAKIPTk=
PqW=46MsRSYhaH=46Z7SmfpVugr6b%0AraCRUgcrgGm7cGlZ2%2BNiuzJr2kKR8hJs7SIgzOJ=
%2=461JapHhzHn4M%3D%0A/cf27236e9d64684a=22 target=3D=22=5Fblank=22 rel=3D=
=22noopener noreferrer nofollow=22><span>https://zeroats.com/</span></a><=
/span><span style=3D=22font-size:1.5rem;=22>&=23160;</span></p>
</li>
<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22font-size:1.5rem;=22>Amazon:&=2316=
0;</span><span style=3D=22font-size:1.5rem;=22><a class=3D=22link=22 href=
=3D=22https://link.mail.beehiiv.com/v1/c/oXvPYchrLEPqEAY5n5VOpiIib6%2=464=
qAkEzi%2BzGHtuiyteU39XLZyECag2VN%2=46h%0AIqbeiMZYq9qci=46J1vf9YvGbkm8c2yN=
eR6e1jp9rRvBM6v6CTX%2=46ORywXe8wMC%0ALivJuYg4jSK7GZ=46tr%2=46i5lLlm95kNAd=
8rSInUsXyhG8iRNtuldPg%3D%0A/8d34ef9be351f2ad=22 target=3D=22=5Fblank=22 r=
el=3D=22noopener noreferrer nofollow=22><span>https://a.co/d/2gq1zJ9</spa=
n></a></span></p>
</li>
</ul>
</div>
</td>
</tr>
<tr>
<td id=3D=22link-to-all-my-old-videos=22 class=3D=22dd=22 align=3D=22left=
=22 valign=3D=22top=22 style=3D=22color:=232A2A2A;font-weight:normal;padd=
ing:0px 15px;text-align:left;=22>
<h4 style=3D=22color:=232A2A2A;font-weight:normal;mso-line-height-alt:112=
.5%;=22><span style=3D=22font-size:1.5rem;=22>=F0=9F=91=89</span><span st=
yle=3D=22font-size:1.5rem;=22>Link To All My Old Videos:</span></h4>
</td>
</tr>
<tr>
<td style=3D=22padding-bottom:12px;padding-left:37px;padding-right:27px;p=
adding-top:12px;=22 class=3D=22ee=22>
<div style=3D=22margin-left:0px;=22 class=3D=22edm=5Foutlooklist=22>
<ul style=3D=22font-weight:normal;list-style-type:disc;margin-bottom:12px=
 =21important;margin-top:12px =21important;padding:0px 0px 0px 0px;=22>
<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22font-size:1.5rem;=22><a class=3D=22=
link=22 href=3D=22https://link.mail.beehiiv.com/v1/c/ti7hlScz4IiwWVO2OUkp=
ZPU9zXVd4Kf%2=46MyQnG4hkQKBu%2BivVDjvbpc%2=46=46PjbU%0Aa2cH%2=46uZ8UIlpp%=
2Bp6bZ=46Z63Lt3l9Pi8gTtih4mD=46YY%2=46Bu=46laWusv6ajtHj3dY%0AqViPl2sieiXW=
x1bgCUXq4NRnqWpUPjh4dOojbr%2B8uULHPEeSnjE%3D%0A/04a7b46f862963d0=22 targe=
t=3D=22=5Fblank=22 rel=3D=22noopener noreferrer nofollow=22><span>DropBox=
 with all videos</span></a></span></p>
</li>
</ul>
</div>
</td>
</tr>
<tr>
<td id=3D=22link-to-all-my-old-videos=22 class=3D=22dd=22 align=3D=22left=
=22 valign=3D=22top=22 style=3D=22color:=232A2A2A;font-weight:normal;padd=
ing:0px 15px;text-align:left;=22>
<h4 style=3D=22color:=232A2A2A;font-weight:normal;mso-line-height-alt:112=
.5%;=22><span style=3D=22font-size:1.5rem;=22>=F0=9F=91=89</span><span st=
yle=3D=22font-size:1.5rem;=22>Audio Versions of All Videos:</span></h4>
</td>
</tr>
<tr>
<td style=3D=22padding-bottom:12px;padding-left:37px;padding-right:27px;p=
adding-top:12px;=22 class=3D=22ee=22>
<div style=3D=22margin-left:0px;=22 class=3D=22edm=5Foutlooklist=22>
<ul style=3D=22font-weight:normal;list-style-type:disc;margin-bottom:12px=
 =21important;margin-top:12px =21important;padding:0px 0px 0px 0px;=22>
<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22font-size:1.5rem;=22><a class=3D=22=
link=22 href=3D=22https://link.mail.beehiiv.com/v1/c/=461s=46DMRXU4XW%2BN=
QZQ1gB%2=46X7dnNCoyygsOKUvXQP0ATl%2BugpvZqz0IX6MKzi0%0AIykg6LajxHmoEBwy17=
=46Xp42GCP4YcVXnzZyEH95NRSSKkJWYGIMKHJlZRHBV%0A0PxYWDSRTs2aCEzqYIVSovuctl=
01ig2iy%2B1VIPo%2BAZgKI5tZ=46PM%3D%0A/80a11eff8cc97c1d=22 target=3D=22=5F=
blank=22 rel=3D=22noopener noreferrer nofollow=22><span>Itunes</span></a>=
</span></p>
</li>
<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22font-size:1.5rem;=22><a class=3D=22=
link=22 href=3D=22https://link.mail.beehiiv.com/v1/c/JqWpqDovzEGxCg2ZNqvD=
mi2L7xGcUySE1OkTRtaMYY02L8okvjvRBMDgtHwk%0AnTVNB0jnnRdIOgDDkX58SODOS5%2B4=
MTCVxOf1Arubjl20iYHqplTc%2=46f1dCshc%0AGXa=46%2=46ew95sW3RU6BkXa5i974xVji=
4EPZQhhjO72K5g08wG6=46Vow%3D%0A/6fedc7be67a056da=22 target=3D=22=5Fblank=22=
 rel=3D=22noopener noreferrer nofollow=22><span>Spotify</span></a></span>=
</p>
</li>
</ul>
</div>
</td>
</tr>
<tr>
<td id=3D=22get-the-peptide-cheat-sheet=22 class=3D=22dd=22 align=3D=22le=
ft=22 valign=3D=22top=22 style=3D=22color:=232A2A2A;font-weight:normal;pa=
dding:0px 15px;text-align:left;=22>
<h3 style=3D=22color:=232A2A2A;font-weight:normal;mso-line-height-alt:125=
.0%;=22><span style=3D=22font-size:1.5rem;=22>=F0=9F=91=89Get the Peptide=
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</td>
</tr>
<tr>
<td style=3D=22padding-bottom:12px;padding-left:37px;padding-right:27px;p=
adding-top:12px;=22 class=3D=22ee=22>
<div style=3D=22margin-left:0px;=22 class=3D=22edm=5Foutlooklist=22>
<ul style=3D=22font-weight:normal;list-style-type:disc;margin-bottom:12px=
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<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22font-size:1.5rem;=22><a class=3D=22=
link=22 href=3D=22https://link.mail.beehiiv.com/v1/c/9bTX8=46iHsNoYWLZYOY=
R3PaLVlrn4YOv%2=46jCL4VsjYqOkRc5tB5N7Wo6J9bMsD%0AtTc=46xvIf=46SM=46blBE13=
Ihj=46=46nUXOzLuGiBcMUiV3NBafUKsDbCNYOGr6oQPJb%0A3ID2QH2GnO0PE3k6k0MeUeGm=
tRpqa5u30qandhDiiU%2=46ZOoDINYg%3D%0A/c0a3d744a08436cc=22 target=3D=22=5F=
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</li>
</ul>
</div>
</td>
</tr>
<tr>
<td id=3D=22all-my-daily-essentials-on-amazon=22 class=3D=22dd=22 align=3D=
=22left=22 valign=3D=22top=22 style=3D=22color:=232A2A2A;font-weight:norm=
al;padding:0px 15px;text-align:left;=22>
<h3 style=3D=22color:=232A2A2A;font-weight:normal;mso-line-height-alt:125=
.0%;=22><span style=3D=22font-size:1.5rem;=22>=F0=9F=91=89All my daily es=
sentials on Amazon</span></h3>
</td>
</tr>
<tr>
<td style=3D=22padding-bottom:12px;padding-left:37px;padding-right:27px;p=
adding-top:12px;=22 class=3D=22ee=22>
<div style=3D=22margin-left:0px;=22 class=3D=22edm=5Foutlooklist=22>
<ul style=3D=22font-weight:normal;list-style-type:disc;margin-bottom:12px=
 =21important;margin-top:12px =21important;padding:0px 0px 0px 0px;=22>
<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22font-size:1.5rem;=22><a class=3D=22=
link=22 href=3D=22https://link.mail.beehiiv.com/v1/c/4SkGlX30Y2D9JROMiXtX=
5UPjzGXfhBA8n9hANLGcI6Q2e%2BL4QEfXPgMuMn9E%0A8%2BdUKeuvdXaUsUTUftfBJS%2BH=
0f6jtIg1f4xjQxM8TAw2eXcEo6o6=46O%2=46rR9bf%0AA28gGSA7J66x%2=46E983u4hcDg6=
Ov4QN%2=46vi6zQQwPtMUx9JhZhk46k%3D%0A/5f3f3c8001281505=22 target=3D=22=5F=
blank=22 rel=3D=22noopener noreferrer nofollow=22><span>Amazon Storefront=
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</li>
</ul>
</div>
</td>
</tr>
<tr>
<td id=3D=22get-discounts-on-your-favorite-pept=22 class=3D=22dd=22 align=
=3D=22left=22 valign=3D=22top=22 style=3D=22color:=232A2A2A;font-weight:n=
ormal;padding:0px 15px;text-align:left;=22>
<h3 style=3D=22color:=232A2A2A;font-weight:normal;mso-line-height-alt:125=
.0%;=22><span style=3D=22font-size:1.5rem;=22>=F0=9F=91=89Get discounts o=
n your favorite peptides and research chemicals:</span></h3>
</td>
</tr>
<tr>
<td style=3D=22padding-bottom:12px;padding-left:37px;padding-right:27px;p=
adding-top:12px;=22 class=3D=22ee=22>
<div style=3D=22margin-left:0px;=22 class=3D=22edm=5Foutlooklist=22>
<ul style=3D=22font-weight:normal;list-style-type:disc;margin-bottom:12px=
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<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22color:=23ff0000;font-family:Verdan=
a,Geneva,sans-serif;font-size:1.5rem;font-weight:700;=22>PEPTIDES</span><=
/p>
<ul style=3D=22list-style-type:circle;margin:0px 0px;padding:0px 0px 0px =
0px;=22>
<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22font-size:1.5rem;=22>BioLongevity =
Labs (use code hunterw for 15% off):&=23160;</span><span style=3D=22font-=
size:1.5rem;=22><a class=3D=22link=22 href=3D=22https://link.mail.beehiiv=
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0ATE9cvR42a6JaeL97UBSKyZh%2BjAaHbUyttvRL4z%2BYDel2U1oN3DE%3D%0A/32915a42d=
6d18915=22 target=3D=22=5Fblank=22 rel=3D=22noopener noreferrer nofollow=22=
><span>https://biolongevitylabs.com/</span></a></span><span style=3D=22fo=
nt-size:1.5rem;=22>&=23160;</span></p>
</li>
</ul>
</li>
</ul>
</div>
</td>
</tr>
<tr>
<td id=3D=2210-off-my-favorite-protein-powder-a=22 class=3D=22dd=22 align=
=3D=22left=22 valign=3D=22top=22 style=3D=22color:=232A2A2A;font-weight:n=
ormal;padding:0px 15px;text-align:left;=22>
<h3 style=3D=22color:=232A2A2A;font-weight:normal;mso-line-height-alt:125=
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</td>
</tr>
<tr>
<td style=3D=22padding-bottom:12px;padding-left:37px;padding-right:27px;p=
adding-top:12px;=22 class=3D=22ee=22>
<div style=3D=22margin-left:0px;=22 class=3D=22edm=5Foutlooklist=22>
<ul style=3D=22font-weight:normal;list-style-type:disc;margin-bottom:12px=
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<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22font-size:1.5rem;=22><a class=3D=22=
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H%2BmKBxd9pd3OTcUk4t4kaxrpAWiljNhhXMrz%0AwO6Y1h2rdnq6edPTj83LJI8O5JZjDD5m=
emZHZDfpb3az%2=46JBn1Gw%3D%0A/e44117c1ed7c783b=22 target=3D=22=5Fblank=22=
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</li>
</ul>
</div>
</td>
</tr>
<tr>
<td id=3D=22submit-a-video-topic-for-my-next-yo=22 class=3D=22dd=22 align=
=3D=22left=22 valign=3D=22top=22 style=3D=22color:=232A2A2A;font-weight:n=
ormal;padding:0px 15px;text-align:left;=22>
<h3 style=3D=22color:=232A2A2A;font-weight:normal;mso-line-height-alt:125=
.0%;=22><span style=3D=22font-size:1.5rem;=22>=F0=9F=91=89Submit A Video =
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</td>
</tr>
<tr>
<td style=3D=22padding-bottom:12px;padding-left:37px;padding-right:27px;p=
adding-top:12px;=22 class=3D=22ee=22>
<div style=3D=22margin-left:0px;=22 class=3D=22edm=5Foutlooklist=22>
<ul style=3D=22font-weight:normal;list-style-type:disc;margin-bottom:12px=
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<li class=3D=22listItem ultext=22>
<p style=3D=22mso-line-height-alt:150.0%;padding:0px;text-align:left;word=
-break:break-word;=22><span style=3D=22font-size:1.5rem;=22><a class=3D=22=
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v0pe6Yx0U0zRnu74EhqEOJbt3HnlWTdwwQ=46rJ%2=46kRhl%0AIGlEMebqrpj07L9adhpi%2=
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blank=22 rel=3D=22noopener noreferrer nofollow=22><span>https://hunterwil=
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</td>
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<tr>
<td class=3D=22w=22 align=3D=22center=22 valign=3D=22top=22 style=3D=22pa=
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<table role=3D=22none=22 width=3D=22100%=22 border=3D=220=22 cellspacing=3D=
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<tr>
<td align=3D=22center=22 valign=3D=22top=22>
<p style=3D=22font-family:'Verdana',Geneva,sans-serif;color:=232D2D2D=21i=
mportant;=22>Update your email preferences or unsubscribe <a class=3D=22l=
ink=22 href=3D=22https://link.mail.beehiiv.com/v1/c/D8IkM9k81r1%2BjvN1EH6=
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<p class=3D=22copyright=22 style=3D=22font-family:'Verdana',Geneva,sans-s=
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<p style=3D=22font-family:'Verdana',Geneva,sans-serif;color:=232D2D2D=21i=
mportant;=22>228 Park Ave S, =2329976, New York, New York 10003, United S=
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