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Acknowledgments We thank Erika Brown (WashU Med) for creating the figures

Aziz Pirani MD and Dr

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Patient selection considerations include: Troche delivery: Appropriate for patients seeking systemic benefits without injections Convenience: Favored by those who want consistent absorption and ease of use Adjunctive use: Can be combined with topical or injectable approaches for broader results Microneedling with Copper Peptides Enhancement Microneedling combined with GHK-Cu application creates synergistic effects that enhance peptide penetration and biological activity