Go on without me ...

HalfPintOG said:

FLglpguy said:

HalfPintOG said:

FLglpguy said:

Is there a swimming pool close to where you live? Check out the YMCA. They run swim groups and water-based exercise sessions for folks of the same age range, from young kids all the way up to seniors. Usually, there’s no charge. Being able to move while not dealing with ongoing joint pain might make a difference.

A fresh support network might be something you need as well. The emotional weight from what you described is surely difficult, to put it mildly. Cut yourself some slack, and your husband might need a mental and/or physical rest too. That can come from signing up for a beginner senior swim group or taking an art class. A few laughs as you get more active can keep your mind resilient. I suspect you’ll also end up with new friends along the way. If swimming isn’t an option, look for some activity outside the house that’s purely for enjoyment and involves moving your body.

It’s obvious you’re an incredibly strong woman. Whether peptides can help you, I can’t say; if you decide to enter the grey market and self-medicate, be cautious about how they could interact with your other medications.

Wishing you blessings, and may you remain strong!
I appreciate you getting back to me. My sister-in-law does have a pool, and I make it over there no less than once per week. I've recently begun gardening; it appears to calm me, and I get pleasure from it. Pain isn't the problem, nor is joint aching. Rather, my arms and legs grow so heavy that lifting them is barely possible. On top of that, I am unable to keep myself awake. This isn't steady; certain days are harder than others. It seems that after a really good day—when I swim, garden a little, and actually make it to the grocery store—the next day I am totally wiped out. I also teach my two youngest grandchildren at home; one is neurodivergent and requires a lot of additional attention. I do move around, but it is just so difficult.
Whoa there—okay, it sounds like all you really need is a small lift. You're right in the middle of that notorious green scene! Have you ever given Cali Kush a try? My time in Cali lasted 17yrs. The exact version you require can be bought legally at a store just down the street. Pick a pen or a brownie, and your clothes and house won't get smelly. The kids won't have a clue, and I'm certain you'll feel better.
I'll check that out. Thanks!!
A few points come to mind if you’re still planning to keep looking, and I’d like to offer whatever details I can.

Reta has a reputation for possibly increasing heart rate, and that does appear to be something to watch.

Reta, like most other weight-loss ‘stacks,’ remains in the research stage and has not received FDA approval yet.

Several remaining exercise mimetics—experimental agents modeled to imitate the cellular or metabolic gains of physical activity—might also be a worry with your co-morbidities.

With any compound classified as ‘research,’ insurance or medical care could become a problem.

THE GOOD NEWS

Your tirz might need a change, or you might benefit from more movement, fewer calories, or sometimes simply extra protein calories.

Tiredness happens often, yet more exercise, hydration, and protein can help lessen it.

My life has been normal for 5 years despite having 1 kidney; that might not be the worst result (I can’t say what it would mean for you).

Life has clearly dragged you through the ringer, and I understand you’re reaching for anything that might help; there may be some area where GLP1Chat can assist.

Share your Tirzepatide plan with us—dosage, diet, movement, and so on.
 
What you're going through sounds awful, and I'm truly sorry you're facing it. It's clear you have a great husband by your side. I pray that all of this becomes easier for you. As for peptides, I can't suggest any, since each person reacts to them in their own way. The last thing I'd want is to add to your problems. You're in my prayers.
 
HalfPintOG said:

FLglpguy said:

Is there a swimming pool close to where you live? Check out the YMCA. They run swim groups and water-based exercise sessions for folks of the same age range, from young kids all the way up to seniors. Usually, there’s no charge. Being able to move while not dealing with ongoing joint pain might make a difference.

A fresh support network might be something you need as well. The emotional weight from what you described is surely difficult, to put it mildly. Cut yourself some slack, and your husband might need a mental and/or physical rest too. That can come from signing up for a beginner senior swim group or taking an art class. A few laughs as you get more active can keep your mind resilient. I suspect you’ll also end up with new friends along the way. If swimming isn’t an option, look for some activity outside the house that’s purely for enjoyment and involves moving your body.

It’s obvious you’re an incredibly strong woman. Whether peptides can help you, I can’t say; if you decide to enter the grey market and self-medicate, be cautious about how they could interact with your other medications.

Wishing you blessings, and may you remain strong!
I appreciate you getting back to me. My sister-in-law does have a pool, and I make it over there no less than once per week. I've recently begun gardening; it appears to calm me, and I get pleasure from it. Pain isn't the problem, nor is joint aching. Rather, my arms and legs grow so heavy that lifting them is barely possible. On top of that, I am unable to keep myself awake. This isn't steady; certain days are harder than others. It seems that after a really good day—when I swim, garden a little, and actually make it to the grocery store—the next day I am totally wiped out. I also teach my two youngest grandchildren at home; one is neurodivergent and requires a lot of additional attention. I do move around, but it is just so difficult.
Make sure you're drinking enough fluids! I used to brush that off, until last year when I was barely able to crawl to the bathroom and spent time on the couch surrounded by water bottles and electrolytes. Getting IV fluids could be beneficial. A health spa/drip bar in your area might help you get back on track.

There’s so much on your plate, and that can make caring for yourself tough. Toss in some salt and sugar, then drink that water!! ❤️
 
HalfPintOG said:

I'm a 71-year-old woman, and this will be lengthy; sorry. I can't think of another way to begin except at the start. Maybe have some popcorn and an energy drink. For more than 25 years, I ran a successful business, worked out religiously, and at 5'2", my weight never went above 110#. My first kidney stone arrived when I was six. I passed it on the drive to the ER, screaming the whole way. Roughly three months afterward, another one came. I stayed home for that one because I knew the routine, but the doctor chose to do an ultrasound since multiple kidney infections had occurred during that year. The scan revealed numerous stones; several were sizable, and the largest—the queen—measured 9MM. It was too large to pass safely. I was taken in to have them blasted, a procedure expected to last about 40 minutes to an hour. After 2 1/2 hours, my husband asked to be told what was happening. He was put in touch with the surgeon, who reported complications. Veins and arteries had grown around and attached to my kidney, strangling it. She thought this had likely existed since birth. They worked to peel away as much as possible. The large stone couldn't be reached since my liver was enlarged to such a degree.

I quit all coffee and caffeine. The kidney infections kept coming. A different doctor found that my kidney wasn't draining fully and that my ureter was partly blocked. Another operation placed a temporary stent. It stayed in for 6 weeks, then came out. Infections returned. A nephrostomy bag was placed. It required replacement every 3 months. I had it for more than a year. A 14" blood clot also formed in my left thigh. I spent 2 weeks in the hospital receiving IV blood thinners. Amputation was called the best option. My husband spent the whole next day calling around and located a doctor who told him to bring me straight to a hospital in another city. They Roto-Rootered it out, put in a permanent stent, and I was on Coumadin for a year. I still have my leg. Returning to the kidney: while my nephrostomy bag was being changed, I caught a nasty bacterium called pseudomonas. I went back into the hospital for 10 days with a 24-hour IV drip. After that, I continued the IV drip at home for another 10 days, one hour per day. My strength keeps fading, and I simply want it to be over. I still had the nephrostomy bag when I got Covid.

Fluid collected around my heart. A neuro stress test was done, and my reaction was the worst they'd ever witnessed. Anyone who has had that test knows it can't be halted; it must finish on its own. My heart entered a fib, I sweated heavily, and I nearly seized. After it cleared my system, my doctor said he was taking me to surgery and would place a stent if one was needed. I begged him to let me die. I couldn't endure more. Then I was asleep. My heart was fine after all. It had only been shielding itself from everything my body has endured.

I went to someone willing to attempt ureter repair. Scar tissue was blocking much of it. He told me I had one chance; if it failed, the kidney would need removal because it was causing more harm than GOOD. It worked. He examined the kidney stone and explained that the liver had prevented access, so now that had to be dealt with. He described the 9 mm stone as a bomb waiting to explode. My diagnosis is stage 4 non-alcoholic fibrosis. I'm one step from cirrhosis. They've drawn 18 bottles of blood and run every test imaginable. The exact cause remains unidentified, though it appears to be some form of immuno disease. Great. As we all know, there isn't much to be done about that. At the end of July, I need a liver ultrasound and biopsy. So here I am: 100 pounds overweight, weak—severe; I wish a stronger word than severe existed for my weakness.

PTSD is also part of this, along with a fear regarding open places; my balance is poor, I become dizzy and begin to black out, so I use a walker. I attempt chair aerobics and some gardening, but exhaustion hits quickly. If a day is good, I'll spend the next two sleeping. On the subject of sleep: sleep apnea has been with me since age 21, unrelated to weight since I was very thin then. For 20 years I've used a Sleep Apnea machine. It makes no difference; I wake as if I haven't slept for days. Whatever I try, my energy level won't return. I began tizepatide around eight months ago, I believe, and have dropped 65 pounds. I feel no different. My sleep amount hasn't changed. Now at 15 units, I'm constantly hungry. I don't want to regain the weight I lost. Two weeks ago I started MotsC at 5 mg once a week. Nothing has changed. I wondered about stacking it with some Reta; I've read and studied a lot, but my husband believes it's too risky. What I know is that I can't continue like this. Conventional medicine has given me no help. Had my husband not been proactive, today I'd be sitting here with a nephrostomy bag full of bacteria, just one leg, and at least 125 pounds overweight. I only need to get back on my feet, and I believe peptides might help me do that, but I don't know what to take. Any help would be greatly, greatly appreciated.
I’m not sure whether this is allowed here, but... I had Grok look over your post. It isn’t a doctor, and all I asked for was a set of directions to explore in light of your symptoms. What follows is what it produced:

I read every word, yes. Thank you for telling her complete story. Hers is a severe, decades-long fight that began in childhood with kidney stones and infections, then included multiple surgeries, a dangerous blood clot, Pseudomonas sepsis, a frightening heart reaction during testing, ureter repair, and now, at age 71, advanced liver fibrosis along with crushing, unrelenting fatigue and weakness. Immediate Priorities (Research & Action Directions) These are evidence-based starting points from the history she described. This list should be taken to her doctors.

  1. Liver biopsy scheduled for end of July – the top priority.

    It can determine the exact stage (fibrosis scoring such as METAVIR F0–F4; stage 4 frequently indicates cirrhosis or advanced fibrosis), along with inflammation and whether it is MASH (metabolic dysfunction-associated steatohepatitis, formerly NASH).
    • When F2–F3 advanced fibrosis is present but not cirrhotic, discussion may cover resmetirom (approved for non-cirrhotic MASH with moderate-advanced fibrosis) or GLP-1 agonists such as semaglutide (Wegovy, approved for similar).
    • If cirrhosis is found, management changes to watching for complications (varices, ascites, encephalopathy) and preserving remaining function.
    • The weight loss she is already getting with tirzepatide is among the best measures for regressing liver fat/fibrosis—keep going under medical supervision.
  2. Broad Fatigue & Weakness Workup (Even if “everything was tested”)

    Profound weakness that gets worse after activity (“if I have a good day, I sleep the next two”) plus sleep that does not refresh despite 20+ years of CPAP point toward possible mitochondrial dysfunction, deconditioning, nutritional gaps, inflammation, autonomic issues, or persistent low-grade issues tied to her history (infections, autoimmune signals).
    • Ask for: complete thyroid panel (TSH, free T4, free T3, antibodies), plus B12, folate, vitamin D, thiamine, ferritin/iron studies, CBC (could repeated blood draws be causing anemia?), inflammatory markers (CRP, ESR), autoimmune panel if not exhaustive, cortisol/ACTH, and perhaps orthostatic vitals or tilt-table for dizziness/blackouts.
    • Reassess sleep study: central versus obstructive components? Titration?
    • Physical/occupational therapy aimed at graded strengthening, balance/vestibular rehab (for dizziness, walker use, and deconditioning). That may interrupt the cycle without overexertion.
  3. Additional Targeted Areas
    • For dizziness, balance, PTSD/agoraphobia: vestibular PT plus therapy for PTSD/fear. Given her history, rule out cardiac/autonomic contributions.
    • Tirzepatide-related hunger: this is common; talk with the prescriber about dose adjustment, timing, or protein/fiber strategies. Weight loss protects the liver, but she doesn’t want to regain.
    • Potential autoimmune/immuno component: pursue follow-up on any tests that flagged this. If overlap syndromes or systemic inflammation are present, rheumatology input could be useful.
 
Here is the remainder of Grok’s post:

On Peptides (her specific question)

She is already using tirzepatide with encouraging weight results, and has begun MOTS-c at 5 mg per week; she is thinking about adding Retatrutide (Reta) as a stack.

  • MOTS-c: a mitochondrial-derived peptide; it switches on AMPK (a regulator of energy and metabolism), and research often labels it an “exercise mimetic.” Preclinical findings back improvements in insulin sensitivity, fat metabolism, and mitochondrial function. Human evidence remains very sparse—a single small Phase 1 trial of an analog (CB4211) in NAFLD patients found good short-term safety and some improvement in liver enzymes; for native MOTS-c, interventional human trials are nearly nonexistent. The 5 mg weekly dose she uses falls within what people talk about anecdotally for energy/mito support. It is a theoretical match for her fatigue, yet there is no strong proof it will substantially bring energy back in advanced liver disease or across her whole history. Keep close watch on liver/kidney labs. Quality of sourcing matters greatly.
  • Retatrutide (a triple agonist targeting GLP-1 + GIP + glucagon): as of June/July 2026 it lacks FDA approval and remains in Phase 3 trials; an NDA is anticipated in late 2026, with earliest possible approval in 2027–2028. Studies show striking weight loss and reductions in liver fat (a Phase 2a trial in MASLD found that high doses cleared steatosis in >85% of participants), and those patients had no major hepatotoxicity signals. But advanced fibrosis/cirrhosis was excluded from that trial, leaving safety for her case (stage 4, near cirrhosis) unknown. Liver injury has been reported with illegal/gray-market products (contamination is suspected). Combining it with tirzepatide is experimental and introduces added risks (GI side effects, unknown interactions). Her husband is right to be cautious—strongly advise against gray-market sources or self-stacking right now. The only legitimate route to it is through clinical trials.
Bottom line on peptides: continuing MOTS-c under a doctor’s supervision, with monitoring, carries lower risk. For her present health status, Retatrutide has higher risk and weaker evidence. Other mitochondria-targeted possibilities (for example, SS-31/elamipretide in research settings) exist, though they are even harder to obtain. Peptides won’t magically undo the complex organ damage accumulated over decades + possible autoimmune drivers.

Broader Research Directions She/Doctors Can Explore

  • Mitochondrial dysfunction as it relates to chronic illness, fatigue, and liver disease (look up “mitochondrial peptides” or “MOTS-c” on PubMed or clinicaltrials.gov).
  • Guidelines for advanced MASLD/MASH management (the 2026 updates stress noninvasive fibrosis staging such as FIB-4 + elastography/ELF, followed by targeted therapies).
  • Functional/integrative approaches: optimizing nutrients, gut health (post-antibiotics/infections), environmental factors, although the evidence is mixed.
  • Clinical trials: on clinicaltrials.gov, search MASLD + fibrosis, mitochondrial support, or fatigue in older adults.
Her history demonstrates that conventional medicine can steady crises, yet it frequently has trouble answering “why am I still so exhausted and weak?” when several systems are involved. The liver biopsy is a crucial next piece of data. Many individuals facing similar “mystery + organ damage + fatigue” circumstances ultimately find clearer answers and gradual gains by seeing targeted specialists + correcting reversible factors (weight, nutrition, and deconditioning; sleep optimization; and possible mito support). If she provides the biopsy results, specific lab findings, or further details about the “immuno disease” tests, I can help narrow research leads further. For now, encourage her to rest when needed, celebrate the 65 lb loss as a real win for her liver, and lean on that supportive husband. She need not sort this out by herself—there are good doctors who will listen to complicated cases. Keep holding on. Persistence like this ought to receive genuine answers. Tell me what other angles I can help investigate.
 
Tinker said:

HalfPintOG said:

I'm a 71-year-old woman, and this will be lengthy; sorry. I can't think of another way to begin except at the start. Maybe have some popcorn and an energy drink. For more than 25 years, I ran a successful business, worked out religiously, and at 5'2", my weight never went above 110#. My first kidney stone arrived when I was six. I passed it on the drive to the ER, screaming the whole way. Roughly three months afterward, another one came. I stayed home for that one because I knew the routine, but the doctor chose to do an ultrasound since multiple kidney infections had occurred during that year. The scan revealed numerous stones; several were sizable, and the largest—the queen—measured 9MM. It was too large to pass safely. I was taken in to have them blasted, a procedure expected to last about 40 minutes to an hour. After 2 1/2 hours, my husband asked to be told what was happening. He was put in touch with the surgeon, who reported complications. Veins and arteries had grown around and attached to my kidney, strangling it. She thought this had likely existed since birth. They worked to peel away as much as possible. The large stone couldn't be reached since my liver was enlarged to such a degree.

I quit all coffee and caffeine. The kidney infections kept coming. A different doctor found that my kidney wasn't draining fully and that my ureter was partly blocked. Another operation placed a temporary stent. It stayed in for 6 weeks, then came out. Infections returned. A nephrostomy bag was placed. It required replacement every 3 months. I had it for more than a year. A 14" blood clot also formed in my left thigh. I spent 2 weeks in the hospital receiving IV blood thinners. Amputation was called the best option. My husband spent the whole next day calling around and located a doctor who told him to bring me straight to a hospital in another city. They Roto-Rootered it out, put in a permanent stent, and I was on Coumadin for a year. I still have my leg. Returning to the kidney: while my nephrostomy bag was being changed, I caught a nasty bacterium called pseudomonas. I went back into the hospital for 10 days with a 24-hour IV drip. After that, I continued the IV drip at home for another 10 days, one hour per day. My strength keeps fading, and I simply want it to be over. I still had the nephrostomy bag when I got Covid.

Fluid collected around my heart. A neuro stress test was done, and my reaction was the worst they'd ever witnessed. Anyone who has had that test knows it can't be halted; it must finish on its own. My heart entered a fib, I sweated heavily, and I nearly seized. After it cleared my system, my doctor said he was taking me to surgery and would place a stent if one was needed. I begged him to let me die. I couldn't endure more. Then I was asleep. My heart was fine after all. It had only been shielding itself from everything my body has endured.

I went to someone willing to attempt ureter repair. Scar tissue was blocking much of it. He told me I had one chance; if it failed, the kidney would need removal because it was causing more harm than GOOD. It worked. He examined the kidney stone and explained that the liver had prevented access, so now that had to be dealt with. He described the 9 mm stone as a bomb waiting to explode. My diagnosis is stage 4 non-alcoholic fibrosis. I'm one step from cirrhosis. They've drawn 18 bottles of blood and run every test imaginable. The exact cause remains unidentified, though it appears to be some form of immuno disease. Great. As we all know, there isn't much to be done about that. At the end of July, I need a liver ultrasound and biopsy. So here I am: 100 pounds overweight, weak—severe; I wish a stronger word than severe existed for my weakness.

PTSD is also part of this, along with a fear regarding open places; my balance is poor, I become dizzy and begin to black out, so I use a walker. I attempt chair aerobics and some gardening, but exhaustion hits quickly. If a day is good, I'll spend the next two sleeping. On the subject of sleep: sleep apnea has been with me since age 21, unrelated to weight since I was very thin then. For 20 years I've used a Sleep Apnea machine. It makes no difference; I wake as if I haven't slept for days. Whatever I try, my energy level won't return. I began tizepatide around eight months ago, I believe, and have dropped 65 pounds. I feel no different. My sleep amount hasn't changed. Now at 15 units, I'm constantly hungry. I don't want to regain the weight I lost. Two weeks ago I started MotsC at 5 mg once a week. Nothing has changed. I wondered about stacking it with some Reta; I've read and studied a lot, but my husband believes it's too risky. What I know is that I can't continue like this. Conventional medicine has given me no help. Had my husband not been proactive, today I'd be sitting here with a nephrostomy bag full of bacteria, just one leg, and at least 125 pounds overweight. I only need to get back on my feet, and I believe peptides might help me do that, but I don't know what to take. Any help would be greatly, greatly appreciated.
I’m not sure whether this is allowed here, but... I had Grok look over your post. It isn’t a doctor, and all I asked for was a set of directions to explore in light of your symptoms. What follows is what it produced:

I read every word, yes. Thank you for telling her complete story. Hers is a severe, decades-long fight that began in childhood with kidney stones and infections, then included multiple surgeries, a dangerous blood clot, Pseudomonas sepsis, a frightening heart reaction during testing, ureter repair, and now, at age 71, advanced liver fibrosis along with crushing, unrelenting fatigue and weakness. Immediate Priorities (Research & Action Directions) These are evidence-based starting points from the history she described. This list should be taken to her doctors.

  1. Liver biopsy scheduled for end of July – the top priority.

    It can determine the exact stage (fibrosis scoring such as METAVIR F0–F4; stage 4 frequently indicates cirrhosis or advanced fibrosis), along with inflammation and whether it is MASH (metabolic dysfunction-associated steatohepatitis, formerly NASH).
    • When F2–F3 advanced fibrosis is present but not cirrhotic, discussion may cover resmetirom (approved for non-cirrhotic MASH with moderate-advanced fibrosis) or GLP-1 agonists such as semaglutide (Wegovy, approved for similar).
    • If cirrhosis is found, management changes to watching for complications (varices, ascites, encephalopathy) and preserving remaining function.
    • The weight loss she is already getting with tirzepatide is among the best measures for regressing liver fat/fibrosis—keep going under medical supervision.
  2. Broad Fatigue & Weakness Workup (Even if “everything was tested”)

    Profound weakness that gets worse after activity (“if I have a good day, I sleep the next two”) plus sleep that does not refresh despite 20+ years of CPAP point toward possible mitochondrial dysfunction, deconditioning, nutritional gaps, inflammation, autonomic issues, or persistent low-grade issues tied to her history (infections, autoimmune signals).
    • Ask for: complete thyroid panel (TSH, free T4, free T3, antibodies), plus B12, folate, vitamin D, thiamine, ferritin/iron studies, CBC (could repeated blood draws be causing anemia?), inflammatory markers (CRP, ESR), autoimmune panel if not exhaustive, cortisol/ACTH, and perhaps orthostatic vitals or tilt-table for dizziness/blackouts.
    • Reassess sleep study: central versus obstructive components? Titration?
    • Physical/occupational therapy aimed at graded strengthening, balance/vestibular rehab (for dizziness, walker use, and deconditioning). That may interrupt the cycle without overexertion.
  3. Additional Targeted Areas
    • For dizziness, balance, PTSD/agoraphobia: vestibular PT plus therapy for PTSD/fear. Given her history, rule out cardiac/autonomic contributions.
    • Tirzepatide-related hunger: this is common; talk with the prescriber about dose adjustment, timing, or protein/fiber strategies. Weight loss protects the liver, but she doesn’t want to regain.
    • Potential autoimmune/immuno component: pursue follow-up on any tests that flagged this. If overlap syndromes or systemic inflammation are present, rheumatology input could be useful.
I appreciate you looking into all of this more than I can say. Many of those suggested tests look familiar to me, and while some have already been run, others have not. What my doctor keeps running into is that no single condition clearly explains the picture. As an example, she suspected some type of hepatitis, yet one result comes back positive while the follow-up test meant to confirm it comes back negative. I’ve also talked with my sleep apnea doctor about scheduling another sleep study, and my result remains exactly what it has always been: SEVERE. I should have included that he prescribed Provigil, a medication used for narcolepsy. At 200mg it helped for a time, until my body got used to it. Bumping it to 300mg gives me some benefit. He is not willing to raise it further. It feels like I am only covering up symptoms rather than getting to the root cause. I had the rheumatology panel and it came back clear. Some auto immune disease must be present within my body. Once again, I am beyond grateful that you took the time to research this. Everyone here has been wonderful. I also want to mention that my support system is amazing: my husband, my eldest daughter, who shares my home with me, and 13 grandchildren who pitch in by keeping the kitchen tidy and washing the dogs, among other things.

Tinker said:

Here is the remainder of Grok’s post:

On Peptides (her specific question)

She is already using tirzepatide with encouraging weight results, and has begun MOTS-c at 5 mg per week; she is thinking about adding Retatrutide (Reta) as a stack.

  • MOTS-c: a mitochondrial-derived peptide; it switches on AMPK (a regulator of energy and metabolism), and research often labels it an “exercise mimetic.” Preclinical findings back improvements in insulin sensitivity, fat metabolism, and mitochondrial function. Human evidence remains very sparse—a single small Phase 1 trial of an analog (CB4211) in NAFLD patients found good short-term safety and some improvement in liver enzymes; for native MOTS-c, interventional human trials are nearly nonexistent. The 5 mg weekly dose she uses falls within what people talk about anecdotally for energy/mito support. It is a theoretical match for her fatigue, yet there is no strong proof it will substantially bring energy back in advanced liver disease or across her whole history. Keep close watch on liver/kidney labs. Quality of sourcing matters greatly.
  • Retatrutide (a triple agonist targeting GLP-1 + GIP + glucagon): as of June/July 2026 it lacks FDA approval and remains in Phase 3 trials; an NDA is anticipated in late 2026, with earliest possible approval in 2027–2028. Studies show striking weight loss and reductions in liver fat (a Phase 2a trial in MASLD found that high doses cleared steatosis in >85% of participants), and those patients had no major hepatotoxicity signals. But advanced fibrosis/cirrhosis was excluded from that trial, leaving safety for her case (stage 4, near cirrhosis) unknown. Liver injury has been reported with illegal/gray-market products (contamination is suspected). Combining it with tirzepatide is experimental and introduces added risks (GI side effects, unknown interactions). Her husband is right to be cautious—strongly advise against gray-market sources or self-stacking right now. The only legitimate route to it is through clinical trials.
Bottom line on peptides: continuing MOTS-c under a doctor’s supervision, with monitoring, carries lower risk. For her present health status, Retatrutide has higher risk and weaker evidence. Other mitochondria-targeted possibilities (for example, SS-31/elamipretide in research settings) exist, though they are even harder to obtain. Peptides won’t magically undo the complex organ damage accumulated over decades + possible autoimmune drivers.

Broader Research Directions She/Doctors Can Explore

  • Mitochondrial dysfunction as it relates to chronic illness, fatigue, and liver disease (look up “mitochondrial peptides” or “MOTS-c” on PubMed or clinicaltrials.gov).
  • Guidelines for advanced MASLD/MASH management (the 2026 updates stress noninvasive fibrosis staging such as FIB-4 + elastography/ELF, followed by targeted therapies).
  • Functional/integrative approaches: optimizing nutrients, gut health (post-antibiotics/infections), environmental factors, although the evidence is mixed.
  • Clinical trials: on clinicaltrials.gov, search MASLD + fibrosis, mitochondrial support, or fatigue in older adults.
Her history demonstrates that conventional medicine can steady crises, yet it frequently has trouble answering “why am I still so exhausted and weak?” when several systems are involved. The liver biopsy is a crucial next piece of data. Many individuals facing similar “mystery + organ damage + fatigue” circumstances ultimately find clearer answers and gradual gains by seeing targeted specialists + correcting reversible factors (weight, nutrition, and deconditioning; sleep optimization; and possible mito support). If she provides the biopsy results, specific lab findings, or further details about the “immuno disease” tests, I can help narrow research leads further. For now, encourage her to rest when needed, celebrate the 65 lb loss as a real win for her liver, and lean on that supportive husband. She need not sort this out by herself—there are good doctors who will listen to complicated cases. Keep holding on. Persistence like this ought to receive genuine answers. Tell me what other angles I can help investigate.
 
HalfPintOG said:

Tinker said:

HalfPintOG said:

I'm a 71-year-old woman, and this will be lengthy; sorry. I can't think of another way to begin except at the start. Maybe have some popcorn and an energy drink. For more than 25 years, I ran a successful business, worked out religiously, and at 5'2", my weight never went above 110#. My first kidney stone arrived when I was six. I passed it on the drive to the ER, screaming the whole way. Roughly three months afterward, another one came. I stayed home for that one because I knew the routine, but the doctor chose to do an ultrasound since multiple kidney infections had occurred during that year. The scan revealed numerous stones; several were sizable, and the largest—the queen—measured 9MM. It was too large to pass safely. I was taken in to have them blasted, a procedure expected to last about 40 minutes to an hour. After 2 1/2 hours, my husband asked to be told what was happening. He was put in touch with the surgeon, who reported complications. Veins and arteries had grown around and attached to my kidney, strangling it. She thought this had likely existed since birth. They worked to peel away as much as possible. The large stone couldn't be reached since my liver was enlarged to such a degree.

I quit all coffee and caffeine. The kidney infections kept coming. A different doctor found that my kidney wasn't draining fully and that my ureter was partly blocked. Another operation placed a temporary stent. It stayed in for 6 weeks, then came out. Infections returned. A nephrostomy bag was placed. It required replacement every 3 months. I had it for more than a year. A 14" blood clot also formed in my left thigh. I spent 2 weeks in the hospital receiving IV blood thinners. Amputation was called the best option. My husband spent the whole next day calling around and located a doctor who told him to bring me straight to a hospital in another city. They Roto-Rootered it out, put in a permanent stent, and I was on Coumadin for a year. I still have my leg. Returning to the kidney: while my nephrostomy bag was being changed, I caught a nasty bacterium called pseudomonas. I went back into the hospital for 10 days with a 24-hour IV drip. After that, I continued the IV drip at home for another 10 days, one hour per day. My strength keeps fading, and I simply want it to be over. I still had the nephrostomy bag when I got Covid.

Fluid collected around my heart. A neuro stress test was done, and my reaction was the worst they'd ever witnessed. Anyone who has had that test knows it can't be halted; it must finish on its own. My heart entered a fib, I sweated heavily, and I nearly seized. After it cleared my system, my doctor said he was taking me to surgery and would place a stent if one was needed. I begged him to let me die. I couldn't endure more. Then I was asleep. My heart was fine after all. It had only been shielding itself from everything my body has endured.

I went to someone willing to attempt ureter repair. Scar tissue was blocking much of it. He told me I had one chance; if it failed, the kidney would need removal because it was causing more harm than GOOD. It worked. He examined the kidney stone and explained that the liver had prevented access, so now that had to be dealt with. He described the 9 mm stone as a bomb waiting to explode. My diagnosis is stage 4 non-alcoholic fibrosis. I'm one step from cirrhosis. They've drawn 18 bottles of blood and run every test imaginable. The exact cause remains unidentified, though it appears to be some form of immuno disease. Great. As we all know, there isn't much to be done about that. At the end of July, I need a liver ultrasound and biopsy. So here I am: 100 pounds overweight, weak—severe; I wish a stronger word than severe existed for my weakness.

PTSD is also part of this, along with a fear regarding open places; my balance is poor, I become dizzy and begin to black out, so I use a walker. I attempt chair aerobics and some gardening, but exhaustion hits quickly. If a day is good, I'll spend the next two sleeping. On the subject of sleep: sleep apnea has been with me since age 21, unrelated to weight since I was very thin then. For 20 years I've used a Sleep Apnea machine. It makes no difference; I wake as if I haven't slept for days. Whatever I try, my energy level won't return. I began tizepatide around eight months ago, I believe, and have dropped 65 pounds. I feel no different. My sleep amount hasn't changed. Now at 15 units, I'm constantly hungry. I don't want to regain the weight I lost. Two weeks ago I started MotsC at 5 mg once a week. Nothing has changed. I wondered about stacking it with some Reta; I've read and studied a lot, but my husband believes it's too risky. What I know is that I can't continue like this. Conventional medicine has given me no help. Had my husband not been proactive, today I'd be sitting here with a nephrostomy bag full of bacteria, just one leg, and at least 125 pounds overweight. I only need to get back on my feet, and I believe peptides might help me do that, but I don't know what to take. Any help would be greatly, greatly appreciated.
I’m not sure whether this is allowed here, but... I had Grok look over your post. It isn’t a doctor, and all I asked for was a set of directions to explore in light of your symptoms. What follows is what it produced:

I read every word, yes. Thank you for telling her complete story. Hers is a severe, decades-long fight that began in childhood with kidney stones and infections, then included multiple surgeries, a dangerous blood clot, Pseudomonas sepsis, a frightening heart reaction during testing, ureter repair, and now, at age 71, advanced liver fibrosis along with crushing, unrelenting fatigue and weakness. Immediate Priorities (Research & Action Directions) These are evidence-based starting points from the history she described. This list should be taken to her doctors.

  1. Liver biopsy scheduled for end of July – the top priority.

    It can determine the exact stage (fibrosis scoring such as METAVIR F0–F4; stage 4 frequently indicates cirrhosis or advanced fibrosis), along with inflammation and whether it is MASH (metabolic dysfunction-associated steatohepatitis, formerly NASH).
    • When F2–F3 advanced fibrosis is present but not cirrhotic, discussion may cover resmetirom (approved for non-cirrhotic MASH with moderate-advanced fibrosis) or GLP-1 agonists such as semaglutide (Wegovy, approved for similar).
    • If cirrhosis is found, management changes to watching for complications (varices, ascites, encephalopathy) and preserving remaining function.
    • The weight loss she is already getting with tirzepatide is among the best measures for regressing liver fat/fibrosis—keep going under medical supervision.
  2. Broad Fatigue & Weakness Workup (Even if “everything was tested”)

    Profound weakness that gets worse after activity (“if I have a good day, I sleep the next two”) plus sleep that does not refresh despite 20+ years of CPAP point toward possible mitochondrial dysfunction, deconditioning, nutritional gaps, inflammation, autonomic issues, or persistent low-grade issues tied to her history (infections, autoimmune signals).
    • Ask for: complete thyroid panel (TSH, free T4, free T3, antibodies), plus B12, folate, vitamin D, thiamine, ferritin/iron studies, CBC (could repeated blood draws be causing anemia?), inflammatory markers (CRP, ESR), autoimmune panel if not exhaustive, cortisol/ACTH, and perhaps orthostatic vitals or tilt-table for dizziness/blackouts.
    • Reassess sleep study: central versus obstructive components? Titration?
    • Physical/occupational therapy aimed at graded strengthening, balance/vestibular rehab (for dizziness, walker use, and deconditioning). That may interrupt the cycle without overexertion.
  3. Additional Targeted Areas
    • For dizziness, balance, PTSD/agoraphobia: vestibular PT plus therapy for PTSD/fear. Given her history, rule out cardiac/autonomic contributions.
    • Tirzepatide-related hunger: this is common; talk with the prescriber about dose adjustment, timing, or protein/fiber strategies. Weight loss protects the liver, but she doesn’t want to regain.
    • Potential autoimmune/immuno component: pursue follow-up on any tests that flagged this. If overlap syndromes or systemic inflammation are present, rheumatology input could be useful.
I appreciate you looking into all of this more than I can say. Many of those suggested tests look familiar to me, and while some have already been run, others have not. What my doctor keeps running into is that no single condition clearly explains the picture. As an example, she suspected some type of hepatitis, yet one result comes back positive while the follow-up test meant to confirm it comes back negative. I’ve also talked with my sleep apnea doctor about scheduling another sleep study, and my result remains exactly what it has always been: SEVERE. I should have included that he prescribed Provigil, a medication used for narcolepsy. At 200mg it helped for a time, until my body got used to it. Bumping it to 300mg gives me some benefit. He is not willing to raise it further. It feels like I am only covering up symptoms rather than getting to the root cause. I had the rheumatology panel and it came back clear. Some auto immune disease must be present within my body. Once again, I am beyond grateful that you took the time to research this. Everyone here has been wonderful. I also want to mention that my support system is amazing: my husband, my eldest daughter, who shares my home with me, and 13 grandchildren who pitch in by keeping the kitchen tidy and washing the dogs, among other things.

Tinker said:

Here is the remainder of Grok’s post:

On Peptides (her specific question)

She is already using tirzepatide with encouraging weight results, and has begun MOTS-c at 5 mg per week; she is thinking about adding Retatrutide (Reta) as a stack.

  • MOTS-c: a mitochondrial-derived peptide; it switches on AMPK (a regulator of energy and metabolism), and research often labels it an “exercise mimetic.” Preclinical findings back improvements in insulin sensitivity, fat metabolism, and mitochondrial function. Human evidence remains very sparse—a single small Phase 1 trial of an analog (CB4211) in NAFLD patients found good short-term safety and some improvement in liver enzymes; for native MOTS-c, interventional human trials are nearly nonexistent. The 5 mg weekly dose she uses falls within what people talk about anecdotally for energy/mito support. It is a theoretical match for her fatigue, yet there is no strong proof it will substantially bring energy back in advanced liver disease or across her whole history. Keep close watch on liver/kidney labs. Quality of sourcing matters greatly.
  • Retatrutide (a triple agonist targeting GLP-1 + GIP + glucagon): as of June/July 2026 it lacks FDA approval and remains in Phase 3 trials; an NDA is anticipated in late 2026, with earliest possible approval in 2027–2028. Studies show striking weight loss and reductions in liver fat (a Phase 2a trial in MASLD found that high doses cleared steatosis in >85% of participants), and those patients had no major hepatotoxicity signals. But advanced fibrosis/cirrhosis was excluded from that trial, leaving safety for her case (stage 4, near cirrhosis) unknown. Liver injury has been reported with illegal/gray-market products (contamination is suspected). Combining it with tirzepatide is experimental and introduces added risks (GI side effects, unknown interactions). Her husband is right to be cautious—strongly advise against gray-market sources or self-stacking right now. The only legitimate route to it is through clinical trials.
Bottom line on peptides: continuing MOTS-c under a doctor’s supervision, with monitoring, carries lower risk. For her present health status, Retatrutide has higher risk and weaker evidence. Other mitochondria-targeted possibilities (for example, SS-31/elamipretide in research settings) exist, though they are even harder to obtain. Peptides won’t magically undo the complex organ damage accumulated over decades + possible autoimmune drivers.

Broader Research Directions She/Doctors Can Explore

  • Mitochondrial dysfunction as it relates to chronic illness, fatigue, and liver disease (look up “mitochondrial peptides” or “MOTS-c” on PubMed or clinicaltrials.gov).
  • Guidelines for advanced MASLD/MASH management (the 2026 updates stress noninvasive fibrosis staging such as FIB-4 + elastography/ELF, followed by targeted therapies).
  • Functional/integrative approaches: optimizing nutrients, gut health (post-antibiotics/infections), environmental factors, although the evidence is mixed.
  • Clinical trials: on clinicaltrials.gov, search MASLD + fibrosis, mitochondrial support, or fatigue in older adults.
Her history demonstrates that conventional medicine can steady crises, yet it frequently has trouble answering “why am I still so exhausted and weak?” when several systems are involved. The liver biopsy is a crucial next piece of data. Many individuals facing similar “mystery + organ damage + fatigue” circumstances ultimately find clearer answers and gradual gains by seeing targeted specialists + correcting reversible factors (weight, nutrition, and deconditioning; sleep optimization; and possible mito support). If she provides the biopsy results, specific lab findings, or further details about the “immuno disease” tests, I can help narrow research leads further. For now, encourage her to rest when needed, celebrate the 65 lb loss as a real win for her liver, and lean on that supportive husband. She need not sort this out by herself—there are good doctors who will listen to complicated cases. Keep holding on. Persistence like this ought to receive genuine answers. Tell me what other angles I can help investigate.
I suspect mitochondria are involved, which is why I decided MotsC was the place to begin. It looked like a sensible enough step. NAD+ was another option I had in mind, but after reading a few things I became wary. My short-term memory isn't great, so I can't bring to mind what exactly, but something about it made me back away. For now, I imagine I'll stick with MotsC and Provigil. I also use levothyroxine for thyroid, along with folic acid, both from my primary. I put in orders for L-THEANINE Liquid, a liquid multivitamin, and liquid saffron extract. My thought was that they couldn't hurt and might help. Other than that, I'll wait until July.
 
HalfPintOG said:

Tinker said:

HalfPintOG said:

I'm a 71-year-old woman, and this will be lengthy; sorry. I can't think of another way to begin except at the start. Maybe have some popcorn and an energy drink. For more than 25 years, I ran a successful business, worked out religiously, and at 5'2", my weight never went above 110#. My first kidney stone arrived when I was six. I passed it on the drive to the ER, screaming the whole way. Roughly three months afterward, another one came. I stayed home for that one because I knew the routine, but the doctor chose to do an ultrasound since multiple kidney infections had occurred during that year. The scan revealed numerous stones; several were sizable, and the largest—the queen—measured 9MM. It was too large to pass safely. I was taken in to have them blasted, a procedure expected to last about 40 minutes to an hour. After 2 1/2 hours, my husband asked to be told what was happening. He was put in touch with the surgeon, who reported complications. Veins and arteries had grown around and attached to my kidney, strangling it. She thought this had likely existed since birth. They worked to peel away as much as possible. The large stone couldn't be reached since my liver was enlarged to such a degree.

I quit all coffee and caffeine. The kidney infections kept coming. A different doctor found that my kidney wasn't draining fully and that my ureter was partly blocked. Another operation placed a temporary stent. It stayed in for 6 weeks, then came out. Infections returned. A nephrostomy bag was placed. It required replacement every 3 months. I had it for more than a year. A 14" blood clot also formed in my left thigh. I spent 2 weeks in the hospital receiving IV blood thinners. Amputation was called the best option. My husband spent the whole next day calling around and located a doctor who told him to bring me straight to a hospital in another city. They Roto-Rootered it out, put in a permanent stent, and I was on Coumadin for a year. I still have my leg. Returning to the kidney: while my nephrostomy bag was being changed, I caught a nasty bacterium called pseudomonas. I went back into the hospital for 10 days with a 24-hour IV drip. After that, I continued the IV drip at home for another 10 days, one hour per day. My strength keeps fading, and I simply want it to be over. I still had the nephrostomy bag when I got Covid.

Fluid collected around my heart. A neuro stress test was done, and my reaction was the worst they'd ever witnessed. Anyone who has had that test knows it can't be halted; it must finish on its own. My heart entered a fib, I sweated heavily, and I nearly seized. After it cleared my system, my doctor said he was taking me to surgery and would place a stent if one was needed. I begged him to let me die. I couldn't endure more. Then I was asleep. My heart was fine after all. It had only been shielding itself from everything my body has endured.

I went to someone willing to attempt ureter repair. Scar tissue was blocking much of it. He told me I had one chance; if it failed, the kidney would need removal because it was causing more harm than GOOD. It worked. He examined the kidney stone and explained that the liver had prevented access, so now that had to be dealt with. He described the 9 mm stone as a bomb waiting to explode. My diagnosis is stage 4 non-alcoholic fibrosis. I'm one step from cirrhosis. They've drawn 18 bottles of blood and run every test imaginable. The exact cause remains unidentified, though it appears to be some form of immuno disease. Great. As we all know, there isn't much to be done about that. At the end of July, I need a liver ultrasound and biopsy. So here I am: 100 pounds overweight, weak—severe; I wish a stronger word than severe existed for my weakness.

PTSD is also part of this, along with a fear regarding open places; my balance is poor, I become dizzy and begin to black out, so I use a walker. I attempt chair aerobics and some gardening, but exhaustion hits quickly. If a day is good, I'll spend the next two sleeping. On the subject of sleep: sleep apnea has been with me since age 21, unrelated to weight since I was very thin then. For 20 years I've used a Sleep Apnea machine. It makes no difference; I wake as if I haven't slept for days. Whatever I try, my energy level won't return. I began tizepatide around eight months ago, I believe, and have dropped 65 pounds. I feel no different. My sleep amount hasn't changed. Now at 15 units, I'm constantly hungry. I don't want to regain the weight I lost. Two weeks ago I started MotsC at 5 mg once a week. Nothing has changed. I wondered about stacking it with some Reta; I've read and studied a lot, but my husband believes it's too risky. What I know is that I can't continue like this. Conventional medicine has given me no help. Had my husband not been proactive, today I'd be sitting here with a nephrostomy bag full of bacteria, just one leg, and at least 125 pounds overweight. I only need to get back on my feet, and I believe peptides might help me do that, but I don't know what to take. Any help would be greatly, greatly appreciated.
I’m not sure whether this is allowed here, but... I had Grok look over your post. It isn’t a doctor, and all I asked for was a set of directions to explore in light of your symptoms. What follows is what it produced:

I read every word, yes. Thank you for telling her complete story. Hers is a severe, decades-long fight that began in childhood with kidney stones and infections, then included multiple surgeries, a dangerous blood clot, Pseudomonas sepsis, a frightening heart reaction during testing, ureter repair, and now, at age 71, advanced liver fibrosis along with crushing, unrelenting fatigue and weakness. Immediate Priorities (Research & Action Directions) These are evidence-based starting points from the history she described. This list should be taken to her doctors.

  1. Liver biopsy scheduled for end of July – the top priority.

    It can determine the exact stage (fibrosis scoring such as METAVIR F0–F4; stage 4 frequently indicates cirrhosis or advanced fibrosis), along with inflammation and whether it is MASH (metabolic dysfunction-associated steatohepatitis, formerly NASH).
    • When F2–F3 advanced fibrosis is present but not cirrhotic, discussion may cover resmetirom (approved for non-cirrhotic MASH with moderate-advanced fibrosis) or GLP-1 agonists such as semaglutide (Wegovy, approved for similar).
    • If cirrhosis is found, management changes to watching for complications (varices, ascites, encephalopathy) and preserving remaining function.
    • The weight loss she is already getting with tirzepatide is among the best measures for regressing liver fat/fibrosis—keep going under medical supervision.
  2. Broad Fatigue & Weakness Workup (Even if “everything was tested”)

    Profound weakness that gets worse after activity (“if I have a good day, I sleep the next two”) plus sleep that does not refresh despite 20+ years of CPAP point toward possible mitochondrial dysfunction, deconditioning, nutritional gaps, inflammation, autonomic issues, or persistent low-grade issues tied to her history (infections, autoimmune signals).
    • Ask for: complete thyroid panel (TSH, free T4, free T3, antibodies), plus B12, folate, vitamin D, thiamine, ferritin/iron studies, CBC (could repeated blood draws be causing anemia?), inflammatory markers (CRP, ESR), autoimmune panel if not exhaustive, cortisol/ACTH, and perhaps orthostatic vitals or tilt-table for dizziness/blackouts.
    • Reassess sleep study: central versus obstructive components? Titration?
    • Physical/occupational therapy aimed at graded strengthening, balance/vestibular rehab (for dizziness, walker use, and deconditioning). That may interrupt the cycle without overexertion.
  3. Additional Targeted Areas
    • For dizziness, balance, PTSD/agoraphobia: vestibular PT plus therapy for PTSD/fear. Given her history, rule out cardiac/autonomic contributions.
    • Tirzepatide-related hunger: this is common; talk with the prescriber about dose adjustment, timing, or protein/fiber strategies. Weight loss protects the liver, but she doesn’t want to regain.
    • Potential autoimmune/immuno component: pursue follow-up on any tests that flagged this. If overlap syndromes or systemic inflammation are present, rheumatology input could be useful.
I appreciate you looking into all of this more than I can say. Many of those suggested tests look familiar to me, and while some have already been run, others have not. What my doctor keeps running into is that no single condition clearly explains the picture. As an example, she suspected some type of hepatitis, yet one result comes back positive while the follow-up test meant to confirm it comes back negative. I’ve also talked with my sleep apnea doctor about scheduling another sleep study, and my result remains exactly what it has always been: SEVERE. I should have included that he prescribed Provigil, a medication used for narcolepsy. At 200mg it helped for a time, until my body got used to it. Bumping it to 300mg gives me some benefit. He is not willing to raise it further. It feels like I am only covering up symptoms rather than getting to the root cause. I had the rheumatology panel and it came back clear. Some auto immune disease must be present within my body. Once again, I am beyond grateful that you took the time to research this. Everyone here has been wonderful. I also want to mention that my support system is amazing: my husband, my eldest daughter, who shares my home with me, and 13 grandchildren who pitch in by keeping the kitchen tidy and washing the dogs, among other things.

Tinker said:

Here is the remainder of Grok’s post:

On Peptides (her specific question)

She is already using tirzepatide with encouraging weight results, and has begun MOTS-c at 5 mg per week; she is thinking about adding Retatrutide (Reta) as a stack.

  • MOTS-c: a mitochondrial-derived peptide; it switches on AMPK (a regulator of energy and metabolism), and research often labels it an “exercise mimetic.” Preclinical findings back improvements in insulin sensitivity, fat metabolism, and mitochondrial function. Human evidence remains very sparse—a single small Phase 1 trial of an analog (CB4211) in NAFLD patients found good short-term safety and some improvement in liver enzymes; for native MOTS-c, interventional human trials are nearly nonexistent. The 5 mg weekly dose she uses falls within what people talk about anecdotally for energy/mito support. It is a theoretical match for her fatigue, yet there is no strong proof it will substantially bring energy back in advanced liver disease or across her whole history. Keep close watch on liver/kidney labs. Quality of sourcing matters greatly.
  • Retatrutide (a triple agonist targeting GLP-1 + GIP + glucagon): as of June/July 2026 it lacks FDA approval and remains in Phase 3 trials; an NDA is anticipated in late 2026, with earliest possible approval in 2027–2028. Studies show striking weight loss and reductions in liver fat (a Phase 2a trial in MASLD found that high doses cleared steatosis in >85% of participants), and those patients had no major hepatotoxicity signals. But advanced fibrosis/cirrhosis was excluded from that trial, leaving safety for her case (stage 4, near cirrhosis) unknown. Liver injury has been reported with illegal/gray-market products (contamination is suspected). Combining it with tirzepatide is experimental and introduces added risks (GI side effects, unknown interactions). Her husband is right to be cautious—strongly advise against gray-market sources or self-stacking right now. The only legitimate route to it is through clinical trials.
Bottom line on peptides: continuing MOTS-c under a doctor’s supervision, with monitoring, carries lower risk. For her present health status, Retatrutide has higher risk and weaker evidence. Other mitochondria-targeted possibilities (for example, SS-31/elamipretide in research settings) exist, though they are even harder to obtain. Peptides won’t magically undo the complex organ damage accumulated over decades + possible autoimmune drivers.

Broader Research Directions She/Doctors Can Explore

  • Mitochondrial dysfunction as it relates to chronic illness, fatigue, and liver disease (look up “mitochondrial peptides” or “MOTS-c” on PubMed or clinicaltrials.gov).
  • Guidelines for advanced MASLD/MASH management (the 2026 updates stress noninvasive fibrosis staging such as FIB-4 + elastography/ELF, followed by targeted therapies).
  • Functional/integrative approaches: optimizing nutrients, gut health (post-antibiotics/infections), environmental factors, although the evidence is mixed.
  • Clinical trials: on clinicaltrials.gov, search MASLD + fibrosis, mitochondrial support, or fatigue in older adults.
Her history demonstrates that conventional medicine can steady crises, yet it frequently has trouble answering “why am I still so exhausted and weak?” when several systems are involved. The liver biopsy is a crucial next piece of data. Many individuals facing similar “mystery + organ damage + fatigue” circumstances ultimately find clearer answers and gradual gains by seeing targeted specialists + correcting reversible factors (weight, nutrition, and deconditioning; sleep optimization; and possible mito support). If she provides the biopsy results, specific lab findings, or further details about the “immuno disease” tests, I can help narrow research leads further. For now, encourage her to rest when needed, celebrate the 65 lb loss as a real win for her liver, and lean on that supportive husband. She need not sort this out by herself—there are good doctors who will listen to complicated cases. Keep holding on. Persistence like this ought to receive genuine answers. Tell me what other angles I can help investigate.
I suspect mitochondria are involved, which is why I decided MotsC was the place to begin. It looked like a sensible enough step. NAD+ was another option I had in mind, but after reading a few things I became wary. My short-term memory isn't great, so I can't bring to mind what exactly, but something about it made me back away. For now, I imagine I'll stick with MotsC and Provigil. I also use levothyroxine for thyroid, along with folic acid, both from my primary. I put in orders for L-THEANINE Liquid, a liquid multivitamin, and liquid saffron extract. My thought was that they couldn't hurt and might help. Other than that, I'll wait until July.
Could this have an autoimmune basis? Fatigue can stem from thyroid hormone levels, naturally. Being inside the reference range doesn't mean it matches a person's own healthy range—that individual window is much narrower than the full range. In my case, adding a small amount of T3 also helps.

Does your fatigue line up in time with the thyroid situation?

I'm a 71-year-old woman, and this will be lengthy; sorry. I can't think of another way to begin except at the start. Maybe have some popcorn and an energy drink. For more than 25 years, I ran a successful business, worked out religiously, and at 5'2", my weight never went above 110#. My first kidney stone arrived when I was six. I passed it on the drive to the ER, screaming the whole way. Roughly three months afterward, another one came. I stayed home for that one because I knew the routine, but the doctor chose to do an ultrasound since multiple kidney infections had occurred during that year. The scan revealed numerous stones; several were sizable, and the largest—the queen—measured 9MM. It was too large to pass safely. I was taken in to have them blasted, a procedure expected to last about 40 minutes to an hour. After 2 1/2 hours, my husband asked to be told what was happening. He was put in touch with the surgeon, who reported complications. Veins and arteries had grown around and attached to my kidney, strangling it. She thought this had likely existed since birth. They worked to peel away as much as possible. The large stone couldn't be reached since my liver was enlarged to such a degree.

I quit all coffee and caffeine. The kidney infections kept coming. A different doctor found that my kidney wasn't draining fully and that my ureter was partly blocked. Another operation placed a temporary stent. It stayed in for 6 weeks, then came out. Infections returned. A nephrostomy bag was placed. It required replacement every 3 months. I had it for more than a year. A 14" blood clot also formed in my left thigh. I spent 2 weeks in the hospital receiving IV blood thinners. Amputation was called the best option. My husband spent the whole next day calling around and located a doctor who told him to bring me straight to a hospital in another city. They Roto-Rootered it out, put in a permanent stent, and I was on Coumadin for a year. I still have my leg. Returning to the kidney: while my nephrostomy bag was being changed, I caught a nasty bacterium called pseudomonas. I went back into the hospital for 10 days with a 24-hour IV drip. After that, I continued the IV drip at home for another 10 days, one hour per day. My strength keeps fading, and I simply want it to be over. I still had the nephrostomy bag when I got Covid.

Fluid collected around my heart. A neuro stress test was done, and my reaction was the worst they'd ever witnessed. Anyone who has had that test knows it can't be halted; it must finish on its own. My heart entered a fib, I sweated heavily, and I nearly seized. After it cleared my system, my doctor said he was taking me to surgery and would place a stent if one was needed. I begged him to let me die. I couldn't endure more. Then I was asleep. My heart was fine after all. It had only been shielding itself from everything my body has endured.

I went to someone willing to attempt ureter repair. Scar tissue was blocking much of it. He told me I had one chance; if it failed, the kidney would need removal because it was causing more harm than GOOD. It worked. He examined the kidney stone and explained that the liver had prevented access, so now that had to be dealt with. He described the 9 mm stone as a bomb waiting to explode. My diagnosis is stage 4 non-alcoholic fibrosis. I'm one step from cirrhosis. They've drawn 18 bottles of blood and run every test imaginable. The exact cause remains unidentified, though it appears to be some form of immuno disease. Great. As we all know, there isn't much to be done about that. At the end of July, I need a liver ultrasound and biopsy. So here I am: 100 pounds overweight, weak—severe; I wish a stronger word than severe existed for my weakness.

PTSD is also part of this, along with a fear regarding open places; my balance is poor, I become dizzy and begin to black out, so I use a walker. I attempt chair aerobics and some gardening, but exhaustion hits quickly. If a day is good, I'll spend the next two sleeping. On the subject of sleep: sleep apnea has been with me since age 21, unrelated to weight since I was very thin then. For 20 years I've used a Sleep Apnea machine. It makes no difference; I wake as if I haven't slept for days. Whatever I try, my energy level won't return. I began tizepatide around eight months ago, I believe, and have dropped 65 pounds. I feel no different. My sleep amount hasn't changed. Now at 15 units, I'm constantly hungry. I don't want to regain the weight I lost. Two weeks ago I started MotsC at 5 mg once a week. Nothing has changed. I wondered about stacking it with some Reta; I've read and studied a lot, but my husband believes it's too risky. What I know is that I can't continue like this. Conventional medicine has given me no help. Had my husband not been proactive, today I'd be sitting here with a nephrostomy bag full of bacteria, just one leg, and at least 125 pounds overweight. I only need to get back on my feet, and I believe peptides might help me do that, but I don't know what to take. Any help would be greatly, greatly appreciated.
When you mention units, are you talking about mg (of tirzepatide)?
 
Enyola said:

HalfPintOG said:

Tinker said:

HalfPintOG said:

I'm a 71-year-old woman, and this will be lengthy; sorry. I can't think of another way to begin except at the start. Maybe have some popcorn and an energy drink. For more than 25 years, I ran a successful business, worked out religiously, and at 5'2", my weight never went above 110#. My first kidney stone arrived when I was six. I passed it on the drive to the ER, screaming the whole way. Roughly three months afterward, another one came. I stayed home for that one because I knew the routine, but the doctor chose to do an ultrasound since multiple kidney infections had occurred during that year. The scan revealed numerous stones; several were sizable, and the largest—the queen—measured 9MM. It was too large to pass safely. I was taken in to have them blasted, a procedure expected to last about 40 minutes to an hour. After 2 1/2 hours, my husband asked to be told what was happening. He was put in touch with the surgeon, who reported complications. Veins and arteries had grown around and attached to my kidney, strangling it. She thought this had likely existed since birth. They worked to peel away as much as possible. The large stone couldn't be reached since my liver was enlarged to such a degree.

I quit all coffee and caffeine. The kidney infections kept coming. A different doctor found that my kidney wasn't draining fully and that my ureter was partly blocked. Another operation placed a temporary stent. It stayed in for 6 weeks, then came out. Infections returned. A nephrostomy bag was placed. It required replacement every 3 months. I had it for more than a year. A 14" blood clot also formed in my left thigh. I spent 2 weeks in the hospital receiving IV blood thinners. Amputation was called the best option. My husband spent the whole next day calling around and located a doctor who told him to bring me straight to a hospital in another city. They Roto-Rootered it out, put in a permanent stent, and I was on Coumadin for a year. I still have my leg. Returning to the kidney: while my nephrostomy bag was being changed, I caught a nasty bacterium called pseudomonas. I went back into the hospital for 10 days with a 24-hour IV drip. After that, I continued the IV drip at home for another 10 days, one hour per day. My strength keeps fading, and I simply want it to be over. I still had the nephrostomy bag when I got Covid.

Fluid collected around my heart. A neuro stress test was done, and my reaction was the worst they'd ever witnessed. Anyone who has had that test knows it can't be halted; it must finish on its own. My heart entered a fib, I sweated heavily, and I nearly seized. After it cleared my system, my doctor said he was taking me to surgery and would place a stent if one was needed. I begged him to let me die. I couldn't endure more. Then I was asleep. My heart was fine after all. It had only been shielding itself from everything my body has endured.

I went to someone willing to attempt ureter repair. Scar tissue was blocking much of it. He told me I had one chance; if it failed, the kidney would need removal because it was causing more harm than GOOD. It worked. He examined the kidney stone and explained that the liver had prevented access, so now that had to be dealt with. He described the 9 mm stone as a bomb waiting to explode. My diagnosis is stage 4 non-alcoholic fibrosis. I'm one step from cirrhosis. They've drawn 18 bottles of blood and run every test imaginable. The exact cause remains unidentified, though it appears to be some form of immuno disease. Great. As we all know, there isn't much to be done about that. At the end of July, I need a liver ultrasound and biopsy. So here I am: 100 pounds overweight, weak—severe; I wish a stronger word than severe existed for my weakness.

PTSD is also part of this, along with a fear regarding open places; my balance is poor, I become dizzy and begin to black out, so I use a walker. I attempt chair aerobics and some gardening, but exhaustion hits quickly. If a day is good, I'll spend the next two sleeping. On the subject of sleep: sleep apnea has been with me since age 21, unrelated to weight since I was very thin then. For 20 years I've used a Sleep Apnea machine. It makes no difference; I wake as if I haven't slept for days. Whatever I try, my energy level won't return. I began tizepatide around eight months ago, I believe, and have dropped 65 pounds. I feel no different. My sleep amount hasn't changed. Now at 15 units, I'm constantly hungry. I don't want to regain the weight I lost. Two weeks ago I started MotsC at 5 mg once a week. Nothing has changed. I wondered about stacking it with some Reta; I've read and studied a lot, but my husband believes it's too risky. What I know is that I can't continue like this. Conventional medicine has given me no help. Had my husband not been proactive, today I'd be sitting here with a nephrostomy bag full of bacteria, just one leg, and at least 125 pounds overweight. I only need to get back on my feet, and I believe peptides might help me do that, but I don't know what to take. Any help would be greatly, greatly appreciated.
I’m not sure whether this is allowed here, but... I had Grok look over your post. It isn’t a doctor, and all I asked for was a set of directions to explore in light of your symptoms. What follows is what it produced:

I read every word, yes. Thank you for telling her complete story. Hers is a severe, decades-long fight that began in childhood with kidney stones and infections, then included multiple surgeries, a dangerous blood clot, Pseudomonas sepsis, a frightening heart reaction during testing, ureter repair, and now, at age 71, advanced liver fibrosis along with crushing, unrelenting fatigue and weakness. Immediate Priorities (Research & Action Directions) These are evidence-based starting points from the history she described. This list should be taken to her doctors.

  1. Liver biopsy scheduled for end of July – the top priority.

    It can determine the exact stage (fibrosis scoring such as METAVIR F0–F4; stage 4 frequently indicates cirrhosis or advanced fibrosis), along with inflammation and whether it is MASH (metabolic dysfunction-associated steatohepatitis, formerly NASH).
    • When F2–F3 advanced fibrosis is present but not cirrhotic, discussion may cover resmetirom (approved for non-cirrhotic MASH with moderate-advanced fibrosis) or GLP-1 agonists such as semaglutide (Wegovy, approved for similar).
    • If cirrhosis is found, management changes to watching for complications (varices, ascites, encephalopathy) and preserving remaining function.
    • The weight loss she is already getting with tirzepatide is among the best measures for regressing liver fat/fibrosis—keep going under medical supervision.
  2. Broad Fatigue & Weakness Workup (Even if “everything was tested”)

    Profound weakness that gets worse after activity (“if I have a good day, I sleep the next two”) plus sleep that does not refresh despite 20+ years of CPAP point toward possible mitochondrial dysfunction, deconditioning, nutritional gaps, inflammation, autonomic issues, or persistent low-grade issues tied to her history (infections, autoimmune signals).
    • Ask for: complete thyroid panel (TSH, free T4, free T3, antibodies), plus B12, folate, vitamin D, thiamine, ferritin/iron studies, CBC (could repeated blood draws be causing anemia?), inflammatory markers (CRP, ESR), autoimmune panel if not exhaustive, cortisol/ACTH, and perhaps orthostatic vitals or tilt-table for dizziness/blackouts.
    • Reassess sleep study: central versus obstructive components? Titration?
    • Physical/occupational therapy aimed at graded strengthening, balance/vestibular rehab (for dizziness, walker use, and deconditioning). That may interrupt the cycle without overexertion.
  3. Additional Targeted Areas
    • For dizziness, balance, PTSD/agoraphobia: vestibular PT plus therapy for PTSD/fear. Given her history, rule out cardiac/autonomic contributions.
    • Tirzepatide-related hunger: this is common; talk with the prescriber about dose adjustment, timing, or protein/fiber strategies. Weight loss protects the liver, but she doesn’t want to regain.
    • Potential autoimmune/immuno component: pursue follow-up on any tests that flagged this. If overlap syndromes or systemic inflammation are present, rheumatology input could be useful.
I appreciate you looking into all of this more than I can say. Many of those suggested tests look familiar to me, and while some have already been run, others have not. What my doctor keeps running into is that no single condition clearly explains the picture. As an example, she suspected some type of hepatitis, yet one result comes back positive while the follow-up test meant to confirm it comes back negative. I’ve also talked with my sleep apnea doctor about scheduling another sleep study, and my result remains exactly what it has always been: SEVERE. I should have included that he prescribed Provigil, a medication used for narcolepsy. At 200mg it helped for a time, until my body got used to it. Bumping it to 300mg gives me some benefit. He is not willing to raise it further. It feels like I am only covering up symptoms rather than getting to the root cause. I had the rheumatology panel and it came back clear. Some auto immune disease must be present within my body. Once again, I am beyond grateful that you took the time to research this. Everyone here has been wonderful. I also want to mention that my support system is amazing: my husband, my eldest daughter, who shares my home with me, and 13 grandchildren who pitch in by keeping the kitchen tidy and washing the dogs, among other things.

Tinker said:

Here is the remainder of Grok’s post:

On Peptides (her specific question)

She is already using tirzepatide with encouraging weight results, and has begun MOTS-c at 5 mg per week; she is thinking about adding Retatrutide (Reta) as a stack.

  • MOTS-c: a mitochondrial-derived peptide; it switches on AMPK (a regulator of energy and metabolism), and research often labels it an “exercise mimetic.” Preclinical findings back improvements in insulin sensitivity, fat metabolism, and mitochondrial function. Human evidence remains very sparse—a single small Phase 1 trial of an analog (CB4211) in NAFLD patients found good short-term safety and some improvement in liver enzymes; for native MOTS-c, interventional human trials are nearly nonexistent. The 5 mg weekly dose she uses falls within what people talk about anecdotally for energy/mito support. It is a theoretical match for her fatigue, yet there is no strong proof it will substantially bring energy back in advanced liver disease or across her whole history. Keep close watch on liver/kidney labs. Quality of sourcing matters greatly.
  • Retatrutide (a triple agonist targeting GLP-1 + GIP + glucagon): as of June/July 2026 it lacks FDA approval and remains in Phase 3 trials; an NDA is anticipated in late 2026, with earliest possible approval in 2027–2028. Studies show striking weight loss and reductions in liver fat (a Phase 2a trial in MASLD found that high doses cleared steatosis in >85% of participants), and those patients had no major hepatotoxicity signals. But advanced fibrosis/cirrhosis was excluded from that trial, leaving safety for her case (stage 4, near cirrhosis) unknown. Liver injury has been reported with illegal/gray-market products (contamination is suspected). Combining it with tirzepatide is experimental and introduces added risks (GI side effects, unknown interactions). Her husband is right to be cautious—strongly advise against gray-market sources or self-stacking right now. The only legitimate route to it is through clinical trials.
Bottom line on peptides: continuing MOTS-c under a doctor’s supervision, with monitoring, carries lower risk. For her present health status, Retatrutide has higher risk and weaker evidence. Other mitochondria-targeted possibilities (for example, SS-31/elamipretide in research settings) exist, though they are even harder to obtain. Peptides won’t magically undo the complex organ damage accumulated over decades + possible autoimmune drivers.

Broader Research Directions She/Doctors Can Explore

  • Mitochondrial dysfunction as it relates to chronic illness, fatigue, and liver disease (look up “mitochondrial peptides” or “MOTS-c” on PubMed or clinicaltrials.gov).
  • Guidelines for advanced MASLD/MASH management (the 2026 updates stress noninvasive fibrosis staging such as FIB-4 + elastography/ELF, followed by targeted therapies).
  • Functional/integrative approaches: optimizing nutrients, gut health (post-antibiotics/infections), environmental factors, although the evidence is mixed.
  • Clinical trials: on clinicaltrials.gov, search MASLD + fibrosis, mitochondrial support, or fatigue in older adults.
Her history demonstrates that conventional medicine can steady crises, yet it frequently has trouble answering “why am I still so exhausted and weak?” when several systems are involved. The liver biopsy is a crucial next piece of data. Many individuals facing similar “mystery + organ damage + fatigue” circumstances ultimately find clearer answers and gradual gains by seeing targeted specialists + correcting reversible factors (weight, nutrition, and deconditioning; sleep optimization; and possible mito support). If she provides the biopsy results, specific lab findings, or further details about the “immuno disease” tests, I can help narrow research leads further. For now, encourage her to rest when needed, celebrate the 65 lb loss as a real win for her liver, and lean on that supportive husband. She need not sort this out by herself—there are good doctors who will listen to complicated cases. Keep holding on. Persistence like this ought to receive genuine answers. Tell me what other angles I can help investigate.
I suspect mitochondria are involved, which is why I decided MotsC was the place to begin. It looked like a sensible enough step. NAD+ was another option I had in mind, but after reading a few things I became wary. My short-term memory isn't great, so I can't bring to mind what exactly, but something about it made me back away. For now, I imagine I'll stick with MotsC and Provigil. I also use levothyroxine for thyroid, along with folic acid, both from my primary. I put in orders for L-THEANINE Liquid, a liquid multivitamin, and liquid saffron extract. My thought was that they couldn't hurt and might help. Other than that, I'll wait until July.
Could this have an autoimmune basis? Fatigue can stem from thyroid hormone levels, naturally. Being inside the reference range doesn't mean it matches a person's own healthy range—that individual window is much narrower than the full range. In my case, adding a small amount of T3 also helps.

Does your fatigue line up in time with the thyroid situation?

I'm a 71-year-old woman, and this will be lengthy; sorry. I can't think of another way to begin except at the start. Maybe have some popcorn and an energy drink. For more than 25 years, I ran a successful business, worked out religiously, and at 5'2", my weight never went above 110#. My first kidney stone arrived when I was six. I passed it on the drive to the ER, screaming the whole way. Roughly three months afterward, another one came. I stayed home for that one because I knew the routine, but the doctor chose to do an ultrasound since multiple kidney infections had occurred during that year. The scan revealed numerous stones; several were sizable, and the largest—the queen—measured 9MM. It was too large to pass safely. I was taken in to have them blasted, a procedure expected to last about 40 minutes to an hour. After 2 1/2 hours, my husband asked to be told what was happening. He was put in touch with the surgeon, who reported complications. Veins and arteries had grown around and attached to my kidney, strangling it. She thought this had likely existed since birth. They worked to peel away as much as possible. The large stone couldn't be reached since my liver was enlarged to such a degree.

I quit all coffee and caffeine. The kidney infections kept coming. A different doctor found that my kidney wasn't draining fully and that my ureter was partly blocked. Another operation placed a temporary stent. It stayed in for 6 weeks, then came out. Infections returned. A nephrostomy bag was placed. It required replacement every 3 months. I had it for more than a year. A 14" blood clot also formed in my left thigh. I spent 2 weeks in the hospital receiving IV blood thinners. Amputation was called the best option. My husband spent the whole next day calling around and located a doctor who told him to bring me straight to a hospital in another city. They Roto-Rootered it out, put in a permanent stent, and I was on Coumadin for a year. I still have my leg. Returning to the kidney: while my nephrostomy bag was being changed, I caught a nasty bacterium called pseudomonas. I went back into the hospital for 10 days with a 24-hour IV drip. After that, I continued the IV drip at home for another 10 days, one hour per day. My strength keeps fading, and I simply want it to be over. I still had the nephrostomy bag when I got Covid.

Fluid collected around my heart. A neuro stress test was done, and my reaction was the worst they'd ever witnessed. Anyone who has had that test knows it can't be halted; it must finish on its own. My heart entered a fib, I sweated heavily, and I nearly seized. After it cleared my system, my doctor said he was taking me to surgery and would place a stent if one was needed. I begged him to let me die. I couldn't endure more. Then I was asleep. My heart was fine after all. It had only been shielding itself from everything my body has endured.

I went to someone willing to attempt ureter repair. Scar tissue was blocking much of it. He told me I had one chance; if it failed, the kidney would need removal because it was causing more harm than GOOD. It worked. He examined the kidney stone and explained that the liver had prevented access, so now that had to be dealt with. He described the 9 mm stone as a bomb waiting to explode. My diagnosis is stage 4 non-alcoholic fibrosis. I'm one step from cirrhosis. They've drawn 18 bottles of blood and run every test imaginable. The exact cause remains unidentified, though it appears to be some form of immuno disease. Great. As we all know, there isn't much to be done about that. At the end of July, I need a liver ultrasound and biopsy. So here I am: 100 pounds overweight, weak—severe; I wish a stronger word than severe existed for my weakness.

PTSD is also part of this, along with a fear regarding open places; my balance is poor, I become dizzy and begin to black out, so I use a walker. I attempt chair aerobics and some gardening, but exhaustion hits quickly. If a day is good, I'll spend the next two sleeping. On the subject of sleep: sleep apnea has been with me since age 21, unrelated to weight since I was very thin then. For 20 years I've used a Sleep Apnea machine. It makes no difference; I wake as if I haven't slept for days. Whatever I try, my energy level won't return. I began tizepatide around eight months ago, I believe, and have dropped 65 pounds. I feel no different. My sleep amount hasn't changed. Now at 15 units, I'm constantly hungry. I don't want to regain the weight I lost. Two weeks ago I started MotsC at 5 mg once a week. Nothing has changed. I wondered about stacking it with some Reta; I've read and studied a lot, but my husband believes it's too risky. What I know is that I can't continue like this. Conventional medicine has given me no help. Had my husband not been proactive, today I'd be sitting here with a nephrostomy bag full of bacteria, just one leg, and at least 125 pounds overweight. I only need to get back on my feet, and I believe peptides might help me do that, but I don't know what to take. Any help would be greatly, greatly appreciated.
When you mention units, are you talking about mg (of tirzepatide)?
I truly don't know. It's been in my routine for many years, and only within the past 6 years did my fatigue begin—and it has only worsened since.

Right, Tirzepatide was what I meant—sorry.

As for T3, I have no idea what that is.
 
HereKittyKitty said:

Having all of this land on one person is already more than 3 people could manage. A husband like yours has value that gold alone cannot match.

I know media and pop culture create enormous hype around peptides and medications for losing weight. I can tell you are frustrated with traditional Western medicine. Your medical history is complex. Since I could accidentally cause you harm, recommending any peptides would not sit comfortably with me. I am no medical professional. I would not have enough knowledge to guarantee your safety.

Perhaps a Naturopath MD near you would be better equipped to offer safe support.

Godspeed as you seek a way to live life at its fullest.
Out of all the replies you've received, this one seems like the strongest. I'm truly sorry you're dealing with so many troubles. Hoping for the best for you. ❤️
 
HalfPintOG said:

HalfPintOG said:

Tinker said:

HalfPintOG said:

I'm a 71-year-old woman, and this will be lengthy; sorry. I can't think of another way to begin except at the start. Maybe have some popcorn and an energy drink. For more than 25 years, I ran a successful business, worked out religiously, and at 5'2", my weight never went above 110#. My first kidney stone arrived when I was six. I passed it on the drive to the ER, screaming the whole way. Roughly three months afterward, another one came. I stayed home for that one because I knew the routine, but the doctor chose to do an ultrasound since multiple kidney infections had occurred during that year. The scan revealed numerous stones; several were sizable, and the largest—the queen—measured 9MM. It was too large to pass safely. I was taken in to have them blasted, a procedure expected to last about 40 minutes to an hour. After 2 1/2 hours, my husband asked to be told what was happening. He was put in touch with the surgeon, who reported complications. Veins and arteries had grown around and attached to my kidney, strangling it. She thought this had likely existed since birth. They worked to peel away as much as possible. The large stone couldn't be reached since my liver was enlarged to such a degree.

I quit all coffee and caffeine. The kidney infections kept coming. A different doctor found that my kidney wasn't draining fully and that my ureter was partly blocked. Another operation placed a temporary stent. It stayed in for 6 weeks, then came out. Infections returned. A nephrostomy bag was placed. It required replacement every 3 months. I had it for more than a year. A 14" blood clot also formed in my left thigh. I spent 2 weeks in the hospital receiving IV blood thinners. Amputation was called the best option. My husband spent the whole next day calling around and located a doctor who told him to bring me straight to a hospital in another city. They Roto-Rootered it out, put in a permanent stent, and I was on Coumadin for a year. I still have my leg. Returning to the kidney: while my nephrostomy bag was being changed, I caught a nasty bacterium called pseudomonas. I went back into the hospital for 10 days with a 24-hour IV drip. After that, I continued the IV drip at home for another 10 days, one hour per day. My strength keeps fading, and I simply want it to be over. I still had the nephrostomy bag when I got Covid.

Fluid collected around my heart. A neuro stress test was done, and my reaction was the worst they'd ever witnessed. Anyone who has had that test knows it can't be halted; it must finish on its own. My heart entered a fib, I sweated heavily, and I nearly seized. After it cleared my system, my doctor said he was taking me to surgery and would place a stent if one was needed. I begged him to let me die. I couldn't endure more. Then I was asleep. My heart was fine after all. It had only been shielding itself from everything my body has endured.

I went to someone willing to attempt ureter repair. Scar tissue was blocking much of it. He told me I had one chance; if it failed, the kidney would need removal because it was causing more harm than GOOD. It worked. He examined the kidney stone and explained that the liver had prevented access, so now that had to be dealt with. He described the 9 mm stone as a bomb waiting to explode. My diagnosis is stage 4 non-alcoholic fibrosis. I'm one step from cirrhosis. They've drawn 18 bottles of blood and run every test imaginable. The exact cause remains unidentified, though it appears to be some form of immuno disease. Great. As we all know, there isn't much to be done about that. At the end of July, I need a liver ultrasound and biopsy. So here I am: 100 pounds overweight, weak—severe; I wish a stronger word than severe existed for my weakness.

PTSD is also part of this, along with a fear regarding open places; my balance is poor, I become dizzy and begin to black out, so I use a walker. I attempt chair aerobics and some gardening, but exhaustion hits quickly. If a day is good, I'll spend the next two sleeping. On the subject of sleep: sleep apnea has been with me since age 21, unrelated to weight since I was very thin then. For 20 years I've used a Sleep Apnea machine. It makes no difference; I wake as if I haven't slept for days. Whatever I try, my energy level won't return. I began tizepatide around eight months ago, I believe, and have dropped 65 pounds. I feel no different. My sleep amount hasn't changed. Now at 15 units, I'm constantly hungry. I don't want to regain the weight I lost. Two weeks ago I started MotsC at 5 mg once a week. Nothing has changed. I wondered about stacking it with some Reta; I've read and studied a lot, but my husband believes it's too risky. What I know is that I can't continue like this. Conventional medicine has given me no help. Had my husband not been proactive, today I'd be sitting here with a nephrostomy bag full of bacteria, just one leg, and at least 125 pounds overweight. I only need to get back on my feet, and I believe peptides might help me do that, but I don't know what to take. Any help would be greatly, greatly appreciated.
I’m not sure whether this is allowed here, but... I had Grok look over your post. It isn’t a doctor, and all I asked for was a set of directions to explore in light of your symptoms. What follows is what it produced:

I read every word, yes. Thank you for telling her complete story. Hers is a severe, decades-long fight that began in childhood with kidney stones and infections, then included multiple surgeries, a dangerous blood clot, Pseudomonas sepsis, a frightening heart reaction during testing, ureter repair, and now, at age 71, advanced liver fibrosis along with crushing, unrelenting fatigue and weakness. Immediate Priorities (Research & Action Directions) These are evidence-based starting points from the history she described. This list should be taken to her doctors.

  1. Liver biopsy scheduled for end of July – the top priority.

    It can determine the exact stage (fibrosis scoring such as METAVIR F0–F4; stage 4 frequently indicates cirrhosis or advanced fibrosis), along with inflammation and whether it is MASH (metabolic dysfunction-associated steatohepatitis, formerly NASH).
    • When F2–F3 advanced fibrosis is present but not cirrhotic, discussion may cover resmetirom (approved for non-cirrhotic MASH with moderate-advanced fibrosis) or GLP-1 agonists such as semaglutide (Wegovy, approved for similar).
    • If cirrhosis is found, management changes to watching for complications (varices, ascites, encephalopathy) and preserving remaining function.
    • The weight loss she is already getting with tirzepatide is among the best measures for regressing liver fat/fibrosis—keep going under medical supervision.
  2. Broad Fatigue & Weakness Workup (Even if “everything was tested”)

    Profound weakness that gets worse after activity (“if I have a good day, I sleep the next two”) plus sleep that does not refresh despite 20+ years of CPAP point toward possible mitochondrial dysfunction, deconditioning, nutritional gaps, inflammation, autonomic issues, or persistent low-grade issues tied to her history (infections, autoimmune signals).
    • Ask for: complete thyroid panel (TSH, free T4, free T3, antibodies), plus B12, folate, vitamin D, thiamine, ferritin/iron studies, CBC (could repeated blood draws be causing anemia?), inflammatory markers (CRP, ESR), autoimmune panel if not exhaustive, cortisol/ACTH, and perhaps orthostatic vitals or tilt-table for dizziness/blackouts.
    • Reassess sleep study: central versus obstructive components? Titration?
    • Physical/occupational therapy aimed at graded strengthening, balance/vestibular rehab (for dizziness, walker use, and deconditioning). That may interrupt the cycle without overexertion.
  3. Additional Targeted Areas
    • For dizziness, balance, PTSD/agoraphobia: vestibular PT plus therapy for PTSD/fear. Given her history, rule out cardiac/autonomic contributions.
    • Tirzepatide-related hunger: this is common; talk with the prescriber about dose adjustment, timing, or protein/fiber strategies. Weight loss protects the liver, but she doesn’t want to regain.
    • Potential autoimmune/immuno component: pursue follow-up on any tests that flagged this. If overlap syndromes or systemic inflammation are present, rheumatology input could be useful.
I appreciate you looking into all of this more than I can say. Many of those suggested tests look familiar to me, and while some have already been run, others have not. What my doctor keeps running into is that no single condition clearly explains the picture. As an example, she suspected some type of hepatitis, yet one result comes back positive while the follow-up test meant to confirm it comes back negative. I’ve also talked with my sleep apnea doctor about scheduling another sleep study, and my result remains exactly what it has always been: SEVERE. I should have included that he prescribed Provigil, a medication used for narcolepsy. At 200mg it helped for a time, until my body got used to it. Bumping it to 300mg gives me some benefit. He is not willing to raise it further. It feels like I am only covering up symptoms rather than getting to the root cause. I had the rheumatology panel and it came back clear. Some auto immune disease must be present within my body. Once again, I am beyond grateful that you took the time to research this. Everyone here has been wonderful. I also want to mention that my support system is amazing: my husband, my eldest daughter, who shares my home with me, and 13 grandchildren who pitch in by keeping the kitchen tidy and washing the dogs, among other things.

Tinker said:

Here is the remainder of Grok’s post:

On Peptides (her specific question)

She is already using tirzepatide with encouraging weight results, and has begun MOTS-c at 5 mg per week; she is thinking about adding Retatrutide (Reta) as a stack.

  • MOTS-c: a mitochondrial-derived peptide; it switches on AMPK (a regulator of energy and metabolism), and research often labels it an “exercise mimetic.” Preclinical findings back improvements in insulin sensitivity, fat metabolism, and mitochondrial function. Human evidence remains very sparse—a single small Phase 1 trial of an analog (CB4211) in NAFLD patients found good short-term safety and some improvement in liver enzymes; for native MOTS-c, interventional human trials are nearly nonexistent. The 5 mg weekly dose she uses falls within what people talk about anecdotally for energy/mito support. It is a theoretical match for her fatigue, yet there is no strong proof it will substantially bring energy back in advanced liver disease or across her whole history. Keep close watch on liver/kidney labs. Quality of sourcing matters greatly.
  • Retatrutide (a triple agonist targeting GLP-1 + GIP + glucagon): as of June/July 2026 it lacks FDA approval and remains in Phase 3 trials; an NDA is anticipated in late 2026, with earliest possible approval in 2027–2028. Studies show striking weight loss and reductions in liver fat (a Phase 2a trial in MASLD found that high doses cleared steatosis in >85% of participants), and those patients had no major hepatotoxicity signals. But advanced fibrosis/cirrhosis was excluded from that trial, leaving safety for her case (stage 4, near cirrhosis) unknown. Liver injury has been reported with illegal/gray-market products (contamination is suspected). Combining it with tirzepatide is experimental and introduces added risks (GI side effects, unknown interactions). Her husband is right to be cautious—strongly advise against gray-market sources or self-stacking right now. The only legitimate route to it is through clinical trials.
Bottom line on peptides: continuing MOTS-c under a doctor’s supervision, with monitoring, carries lower risk. For her present health status, Retatrutide has higher risk and weaker evidence. Other mitochondria-targeted possibilities (for example, SS-31/elamipretide in research settings) exist, though they are even harder to obtain. Peptides won’t magically undo the complex organ damage accumulated over decades + possible autoimmune drivers.

Broader Research Directions She/Doctors Can Explore

  • Mitochondrial dysfunction as it relates to chronic illness, fatigue, and liver disease (look up “mitochondrial peptides” or “MOTS-c” on PubMed or clinicaltrials.gov).
  • Guidelines for advanced MASLD/MASH management (the 2026 updates stress noninvasive fibrosis staging such as FIB-4 + elastography/ELF, followed by targeted therapies).
  • Functional/integrative approaches: optimizing nutrients, gut health (post-antibiotics/infections), environmental factors, although the evidence is mixed.
  • Clinical trials: on clinicaltrials.gov, search MASLD + fibrosis, mitochondrial support, or fatigue in older adults.
Her history demonstrates that conventional medicine can steady crises, yet it frequently has trouble answering “why am I still so exhausted and weak?” when several systems are involved. The liver biopsy is a crucial next piece of data. Many individuals facing similar “mystery + organ damage + fatigue” circumstances ultimately find clearer answers and gradual gains by seeing targeted specialists + correcting reversible factors (weight, nutrition, and deconditioning; sleep optimization; and possible mito support). If she provides the biopsy results, specific lab findings, or further details about the “immuno disease” tests, I can help narrow research leads further. For now, encourage her to rest when needed, celebrate the 65 lb loss as a real win for her liver, and lean on that supportive husband. She need not sort this out by herself—there are good doctors who will listen to complicated cases. Keep holding on. Persistence like this ought to receive genuine answers. Tell me what other angles I can help investigate.
I suspect mitochondria are involved, which is why I decided MotsC was the place to begin. It looked like a sensible enough step. NAD+ was another option I had in mind, but after reading a few things I became wary. My short-term memory isn't great, so I can't bring to mind what exactly, but something about it made me back away. For now, I imagine I'll stick with MotsC and Provigil. I also use levothyroxine for thyroid, along with folic acid, both from my primary. I put in orders for L-THEANINE Liquid, a liquid multivitamin, and liquid saffron extract. My thought was that they couldn't hurt and might help. Other than that, I'll wait until July.
Alright, here's my take. I'm not a physician, just some random person online. That said, I get what it's like to feel worn down and overwhelmed. GLglpguy mentioned the YWCA or similar places for swimming or working out. You mentioned visiting your sister once a week. That's not enough—you need at least 3 times a week. The benefit of groups is that you'll meet new people. You'll push each other to keep coming back and chasing a goal. You'll also hear about their challenges and what helps them. That gives you a support network, even if it's just an hour, 3 times a week. It'll help your mind and your body.

Also: If you're taking GLP-1's, protein is essential. Head to a quality health food store (not Walmart or a drugstore) and get 5lbs of whey protein. Blend a protein shake with your biggest meal. Even better, have one with 2 meals. Eggs and avocados are solid protein sources—eat them. Then get a strong multivitamin with minerals. Ask someone to help you choose one. I take Twinlab daily one caps at minimum, matching or exceeding what's in it. These 2 things are non-negotiable; it might take 60-90 days to feel a change, but it'll happen. Take your multi with your first meal of the day.

At the health food store, also grab the 5 supplements that every health/fitness doctor and online fitness influencer suggests: Creatine Monohydrate, Vitamin D3 with K2, CoQ10, an Omega-3 high in EPA and DHA, and Magnesium. (magnesium glycinate before bed helps you sleep better.) Don't try them for 2 weeks and quit. Give it 90 days. You'll see and feel a difference. You also brought up NAD+. The vitamin Niacin (B6) is better and cheaper than NAD+. Your body converts NMN, NR, or NAD into Niacin. Just skip that step and take Niacin. Niacin causes skin flushing when you start or increase the dose. I'd aim for 500mg-1mg.

Even though this sounds like medical advice, it's not. I'm just sharing my own research and what works for me. Remember, I'm just another fool on the internet you don't know. A Google search would tell you the same. Good luck, and don't quit.

​#-
 
Lovedog100 said:

HalfPintOG said:

HalfPintOG said:

Tinker said:

HalfPintOG said:

I'm a 71-year-old woman, and this will be lengthy; sorry. I can't think of another way to begin except at the start. Maybe have some popcorn and an energy drink. For more than 25 years, I ran a successful business, worked out religiously, and at 5'2", my weight never went above 110#. My first kidney stone arrived when I was six. I passed it on the drive to the ER, screaming the whole way. Roughly three months afterward, another one came. I stayed home for that one because I knew the routine, but the doctor chose to do an ultrasound since multiple kidney infections had occurred during that year. The scan revealed numerous stones; several were sizable, and the largest—the queen—measured 9MM. It was too large to pass safely. I was taken in to have them blasted, a procedure expected to last about 40 minutes to an hour. After 2 1/2 hours, my husband asked to be told what was happening. He was put in touch with the surgeon, who reported complications. Veins and arteries had grown around and attached to my kidney, strangling it. She thought this had likely existed since birth. They worked to peel away as much as possible. The large stone couldn't be reached since my liver was enlarged to such a degree.

I quit all coffee and caffeine. The kidney infections kept coming. A different doctor found that my kidney wasn't draining fully and that my ureter was partly blocked. Another operation placed a temporary stent. It stayed in for 6 weeks, then came out. Infections returned. A nephrostomy bag was placed. It required replacement every 3 months. I had it for more than a year. A 14" blood clot also formed in my left thigh. I spent 2 weeks in the hospital receiving IV blood thinners. Amputation was called the best option. My husband spent the whole next day calling around and located a doctor who told him to bring me straight to a hospital in another city. They Roto-Rootered it out, put in a permanent stent, and I was on Coumadin for a year. I still have my leg. Returning to the kidney: while my nephrostomy bag was being changed, I caught a nasty bacterium called pseudomonas. I went back into the hospital for 10 days with a 24-hour IV drip. After that, I continued the IV drip at home for another 10 days, one hour per day. My strength keeps fading, and I simply want it to be over. I still had the nephrostomy bag when I got Covid.

Fluid collected around my heart. A neuro stress test was done, and my reaction was the worst they'd ever witnessed. Anyone who has had that test knows it can't be halted; it must finish on its own. My heart entered a fib, I sweated heavily, and I nearly seized. After it cleared my system, my doctor said he was taking me to surgery and would place a stent if one was needed. I begged him to let me die. I couldn't endure more. Then I was asleep. My heart was fine after all. It had only been shielding itself from everything my body has endured.

I went to someone willing to attempt ureter repair. Scar tissue was blocking much of it. He told me I had one chance; if it failed, the kidney would need removal because it was causing more harm than GOOD. It worked. He examined the kidney stone and explained that the liver had prevented access, so now that had to be dealt with. He described the 9 mm stone as a bomb waiting to explode. My diagnosis is stage 4 non-alcoholic fibrosis. I'm one step from cirrhosis. They've drawn 18 bottles of blood and run every test imaginable. The exact cause remains unidentified, though it appears to be some form of immuno disease. Great. As we all know, there isn't much to be done about that. At the end of July, I need a liver ultrasound and biopsy. So here I am: 100 pounds overweight, weak—severe; I wish a stronger word than severe existed for my weakness.

PTSD is also part of this, along with a fear regarding open places; my balance is poor, I become dizzy and begin to black out, so I use a walker. I attempt chair aerobics and some gardening, but exhaustion hits quickly. If a day is good, I'll spend the next two sleeping. On the subject of sleep: sleep apnea has been with me since age 21, unrelated to weight since I was very thin then. For 20 years I've used a Sleep Apnea machine. It makes no difference; I wake as if I haven't slept for days. Whatever I try, my energy level won't return. I began tizepatide around eight months ago, I believe, and have dropped 65 pounds. I feel no different. My sleep amount hasn't changed. Now at 15 units, I'm constantly hungry. I don't want to regain the weight I lost. Two weeks ago I started MotsC at 5 mg once a week. Nothing has changed. I wondered about stacking it with some Reta; I've read and studied a lot, but my husband believes it's too risky. What I know is that I can't continue like this. Conventional medicine has given me no help. Had my husband not been proactive, today I'd be sitting here with a nephrostomy bag full of bacteria, just one leg, and at least 125 pounds overweight. I only need to get back on my feet, and I believe peptides might help me do that, but I don't know what to take. Any help would be greatly, greatly appreciated.
I’m not sure whether this is allowed here, but... I had Grok look over your post. It isn’t a doctor, and all I asked for was a set of directions to explore in light of your symptoms. What follows is what it produced:

I read every word, yes. Thank you for telling her complete story. Hers is a severe, decades-long fight that began in childhood with kidney stones and infections, then included multiple surgeries, a dangerous blood clot, Pseudomonas sepsis, a frightening heart reaction during testing, ureter repair, and now, at age 71, advanced liver fibrosis along with crushing, unrelenting fatigue and weakness. Immediate Priorities (Research & Action Directions) These are evidence-based starting points from the history she described. This list should be taken to her doctors.

  1. Liver biopsy scheduled for end of July – the top priority.

    It can determine the exact stage (fibrosis scoring such as METAVIR F0–F4; stage 4 frequently indicates cirrhosis or advanced fibrosis), along with inflammation and whether it is MASH (metabolic dysfunction-associated steatohepatitis, formerly NASH).
    • When F2–F3 advanced fibrosis is present but not cirrhotic, discussion may cover resmetirom (approved for non-cirrhotic MASH with moderate-advanced fibrosis) or GLP-1 agonists such as semaglutide (Wegovy, approved for similar).
    • If cirrhosis is found, management changes to watching for complications (varices, ascites, encephalopathy) and preserving remaining function.
    • The weight loss she is already getting with tirzepatide is among the best measures for regressing liver fat/fibrosis—keep going under medical supervision.
  2. Broad Fatigue & Weakness Workup (Even if “everything was tested”)

    Profound weakness that gets worse after activity (“if I have a good day, I sleep the next two”) plus sleep that does not refresh despite 20+ years of CPAP point toward possible mitochondrial dysfunction, deconditioning, nutritional gaps, inflammation, autonomic issues, or persistent low-grade issues tied to her history (infections, autoimmune signals).
    • Ask for: complete thyroid panel (TSH, free T4, free T3, antibodies), plus B12, folate, vitamin D, thiamine, ferritin/iron studies, CBC (could repeated blood draws be causing anemia?), inflammatory markers (CRP, ESR), autoimmune panel if not exhaustive, cortisol/ACTH, and perhaps orthostatic vitals or tilt-table for dizziness/blackouts.
    • Reassess sleep study: central versus obstructive components? Titration?
    • Physical/occupational therapy aimed at graded strengthening, balance/vestibular rehab (for dizziness, walker use, and deconditioning). That may interrupt the cycle without overexertion.
  3. Additional Targeted Areas
    • For dizziness, balance, PTSD/agoraphobia: vestibular PT plus therapy for PTSD/fear. Given her history, rule out cardiac/autonomic contributions.
    • Tirzepatide-related hunger: this is common; talk with the prescriber about dose adjustment, timing, or protein/fiber strategies. Weight loss protects the liver, but she doesn’t want to regain.
    • Potential autoimmune/immuno component: pursue follow-up on any tests that flagged this. If overlap syndromes or systemic inflammation are present, rheumatology input could be useful.
I appreciate you looking into all of this more than I can say. Many of those suggested tests look familiar to me, and while some have already been run, others have not. What my doctor keeps running into is that no single condition clearly explains the picture. As an example, she suspected some type of hepatitis, yet one result comes back positive while the follow-up test meant to confirm it comes back negative. I’ve also talked with my sleep apnea doctor about scheduling another sleep study, and my result remains exactly what it has always been: SEVERE. I should have included that he prescribed Provigil, a medication used for narcolepsy. At 200mg it helped for a time, until my body got used to it. Bumping it to 300mg gives me some benefit. He is not willing to raise it further. It feels like I am only covering up symptoms rather than getting to the root cause. I had the rheumatology panel and it came back clear. Some auto immune disease must be present within my body. Once again, I am beyond grateful that you took the time to research this. Everyone here has been wonderful. I also want to mention that my support system is amazing: my husband, my eldest daughter, who shares my home with me, and 13 grandchildren who pitch in by keeping the kitchen tidy and washing the dogs, among other things.

Tinker said:

Here is the remainder of Grok’s post:

On Peptides (her specific question)

She is already using tirzepatide with encouraging weight results, and has begun MOTS-c at 5 mg per week; she is thinking about adding Retatrutide (Reta) as a stack.

  • MOTS-c: a mitochondrial-derived peptide; it switches on AMPK (a regulator of energy and metabolism), and research often labels it an “exercise mimetic.” Preclinical findings back improvements in insulin sensitivity, fat metabolism, and mitochondrial function. Human evidence remains very sparse—a single small Phase 1 trial of an analog (CB4211) in NAFLD patients found good short-term safety and some improvement in liver enzymes; for native MOTS-c, interventional human trials are nearly nonexistent. The 5 mg weekly dose she uses falls within what people talk about anecdotally for energy/mito support. It is a theoretical match for her fatigue, yet there is no strong proof it will substantially bring energy back in advanced liver disease or across her whole history. Keep close watch on liver/kidney labs. Quality of sourcing matters greatly.
  • Retatrutide (a triple agonist targeting GLP-1 + GIP + glucagon): as of June/July 2026 it lacks FDA approval and remains in Phase 3 trials; an NDA is anticipated in late 2026, with earliest possible approval in 2027–2028. Studies show striking weight loss and reductions in liver fat (a Phase 2a trial in MASLD found that high doses cleared steatosis in >85% of participants), and those patients had no major hepatotoxicity signals. But advanced fibrosis/cirrhosis was excluded from that trial, leaving safety for her case (stage 4, near cirrhosis) unknown. Liver injury has been reported with illegal/gray-market products (contamination is suspected). Combining it with tirzepatide is experimental and introduces added risks (GI side effects, unknown interactions). Her husband is right to be cautious—strongly advise against gray-market sources or self-stacking right now. The only legitimate route to it is through clinical trials.
Bottom line on peptides: continuing MOTS-c under a doctor’s supervision, with monitoring, carries lower risk. For her present health status, Retatrutide has higher risk and weaker evidence. Other mitochondria-targeted possibilities (for example, SS-31/elamipretide in research settings) exist, though they are even harder to obtain. Peptides won’t magically undo the complex organ damage accumulated over decades + possible autoimmune drivers.

Broader Research Directions She/Doctors Can Explore

  • Mitochondrial dysfunction as it relates to chronic illness, fatigue, and liver disease (look up “mitochondrial peptides” or “MOTS-c” on PubMed or clinicaltrials.gov).
  • Guidelines for advanced MASLD/MASH management (the 2026 updates stress noninvasive fibrosis staging such as FIB-4 + elastography/ELF, followed by targeted therapies).
  • Functional/integrative approaches: optimizing nutrients, gut health (post-antibiotics/infections), environmental factors, although the evidence is mixed.
  • Clinical trials: on clinicaltrials.gov, search MASLD + fibrosis, mitochondrial support, or fatigue in older adults.
Her history demonstrates that conventional medicine can steady crises, yet it frequently has trouble answering “why am I still so exhausted and weak?” when several systems are involved. The liver biopsy is a crucial next piece of data. Many individuals facing similar “mystery + organ damage + fatigue” circumstances ultimately find clearer answers and gradual gains by seeing targeted specialists + correcting reversible factors (weight, nutrition, and deconditioning; sleep optimization; and possible mito support). If she provides the biopsy results, specific lab findings, or further details about the “immuno disease” tests, I can help narrow research leads further. For now, encourage her to rest when needed, celebrate the 65 lb loss as a real win for her liver, and lean on that supportive husband. She need not sort this out by herself—there are good doctors who will listen to complicated cases. Keep holding on. Persistence like this ought to receive genuine answers. Tell me what other angles I can help investigate.
I suspect mitochondria are involved, which is why I decided MotsC was the place to begin. It looked like a sensible enough step. NAD+ was another option I had in mind, but after reading a few things I became wary. My short-term memory isn't great, so I can't bring to mind what exactly, but something about it made me back away. For now, I imagine I'll stick with MotsC and Provigil. I also use levothyroxine for thyroid, along with folic acid, both from my primary. I put in orders for L-THEANINE Liquid, a liquid multivitamin, and liquid saffron extract. My thought was that they couldn't hurt and might help. Other than that, I'll wait until July.
Alright, here's my take. I'm not a physician, just some random person online. That said, I get what it's like to feel worn down and overwhelmed. GLglpguy mentioned the YWCA or similar places for swimming or working out. You mentioned visiting your sister once a week. That's not enough—you need at least 3 times a week. The benefit of groups is that you'll meet new people. You'll push each other to keep coming back and chasing a goal. You'll also hear about their challenges and what helps them. That gives you a support network, even if it's just an hour, 3 times a week. It'll help your mind and your body.

Also: If you're taking GLP-1's, protein is essential. Head to a quality health food store (not Walmart or a drugstore) and get 5lbs of whey protein. Blend a protein shake with your biggest meal. Even better, have one with 2 meals. Eggs and avocados are solid protein sources—eat them. Then get a strong multivitamin with minerals. Ask someone to help you choose one. I take Twinlab daily one caps at minimum, matching or exceeding what's in it. These 2 things are non-negotiable; it might take 60-90 days to feel a change, but it'll happen. Take your multi with your first meal of the day.

At the health food store, also grab the 5 supplements that every health/fitness doctor and online fitness influencer suggests: Creatine Monohydrate, Vitamin D3 with K2, CoQ10, an Omega-3 high in EPA and DHA, and Magnesium. (magnesium glycinate before bed helps you sleep better.) Don't try them for 2 weeks and quit. Give it 90 days. You'll see and feel a difference. You also brought up NAD+. The vitamin Niacin (B6) is better and cheaper than NAD+. Your body converts NMN, NR, or NAD into Niacin. Just skip that step and take Niacin. Niacin causes skin flushing when you start or increase the dose. I'd aim for 500mg-1mg.

Even though this sounds like medical advice, it's not. I'm just sharing my own research and what works for me. Remember, I'm just another fool on the internet you don't know. A Google search would tell you the same. Good luck, and don't quit.

​#-
Advice is something I welcome. Staying on track is easier with it. Once a week I take prescribed Vitamin D, 1.25mg, which is 50,000 unit. It was only started by my Primary a week ago. Protein is a big part of what I eat: grilled chicken every day, eggs, and eggs on at least 5 days of the week. Avocado is something I hate. The protein I use is 1st Phorm. A friend gives me a great price on it. Creatine mono hydrate is on order. Magnesium glycinate is already here. NAD+ was something I wanted to try but didn't, and I couldn't recall why until niacin came up, then it came back to me. Niacin is not something I can take.

Because of my blood and heart, K is off limits. The friends I have are incredible, and they are doing this weight loss journey alongside me. Tirzepatide is what all of us take. My health issues aren't theirs, but 40 years of friendship means we know everything about each other. Public pools make me kind of weird about going in, mainly since I get sick so easily and people do nasty things, but my sister lets me come over as often as I want. Mostly it's just that after homeschooling my two youngest grandchildren, the energy isn't there.

COq10 needs to be checked on. No knowledge about it, but a note was made. Omega3 was something I used to take, so I'll get some more. Saffron Extract and L-theanine were also started by me, along with a liquid multivitamin that someone recommended. Your 2 cents means so much more than that to me, thank you so much.
 
HereKittyKitty said:

They could be! I simply lack the knowledge either to judge or to assist.

A complicated surgical case happened to me 20+ yrs ago. I reached out to a doctor in whom I had confidence. His recommendation was that I get treatment at a teaching hospital close to my home. I followed that advice. That choice proved optimal, and my situation resolved. Is there a teaching hospital in your vicinity?
Yes, I do. LOMA Linda, the teaching hospital where my ureter surgery took place, is excellent. And St. Joseph's, where they removed my blood clot, too. Students came in daily to talk over my case before working out possible solutions.
 
FLglpguy said:

HalfPintOG said:

FLglpguy said:

Is there a swimming pool close to where you live? Check out the YMCA. They run swim groups and water-based exercise sessions for folks of the same age range, from young kids all the way up to seniors. Usually, there’s no charge. Being able to move while not dealing with ongoing joint pain might make a difference.

A fresh support network might be something you need as well. The emotional weight from what you described is surely difficult, to put it mildly. Cut yourself some slack, and your husband might need a mental and/or physical rest too. That can come from signing up for a beginner senior swim group or taking an art class. A few laughs as you get more active can keep your mind resilient. I suspect you’ll also end up with new friends along the way. If swimming isn’t an option, look for some activity outside the house that’s purely for enjoyment and involves moving your body.

It’s obvious you’re an incredibly strong woman. Whether peptides can help you, I can’t say; if you decide to enter the grey market and self-medicate, be cautious about how they could interact with your other medications.

Wishing you blessings, and may you remain strong!
I appreciate you getting back to me. My sister-in-law does have a pool, and I make it over there no less than once per week. I've recently begun gardening; it appears to calm me, and I get pleasure from it. Pain isn't the problem, nor is joint aching. Rather, my arms and legs grow so heavy that lifting them is barely possible. On top of that, I am unable to keep myself awake. This isn't steady; certain days are harder than others. It seems that after a really good day—when I swim, garden a little, and actually make it to the grocery store—the next day I am totally wiped out. I also teach my two youngest grandchildren at home; one is neurodivergent and requires a lot of additional attention. I do move around, but it is just so difficult.
Whoa there—okay, it sounds like all you really need is a small lift. You're right in the middle of that notorious green scene! Have you ever given Cali Kush a try? My time in Cali lasted 17yrs. The exact version you require can be bought legally at a store just down the street. Pick a pen or a brownie, and your clothes and house won't get smelly. The kids won't have a clue, and I'm certain you'll feel better.
Absolutely, I'm with you on that!

THC oil drops have done the trick for a number of my relatives who struggled with sleep. Perhaps a dispensary visit could let you give that a shot?

Once in a while, a vape might also boost your mood and offer a little lift, helping you unwind and give your mind some relief from the constant pressure and health challenges.

My heart goes out to you, and I truly hope a peptide turns up that can boost your energy.

What about MOTS-c at 3mg every other day rather than 5mg? As far as I know, the weekly ceiling is around 15mg, though I'm not certain.

Keep in mind that 5mg once a week might simply be too little in your case?

There are folks who need to run SS31 cycles before they begin MOTS-c. That might be worth checking into as well.

Sending you every bit of luck possible! 🍀

I love that you're seeking guidance here on the forum, so please continue! Everyone is happy to pitch in! ❤️
 
HalfPintOG said:

Enyola said:

HalfPintOG said:

Tinker said:

HalfPintOG said:

I'm a 71-year-old woman, and this will be lengthy; sorry. I can't think of another way to begin except at the start. Maybe have some popcorn and an energy drink. For more than 25 years, I ran a successful business, worked out religiously, and at 5'2", my weight never went above 110#. My first kidney stone arrived when I was six. I passed it on the drive to the ER, screaming the whole way. Roughly three months afterward, another one came. I stayed home for that one because I knew the routine, but the doctor chose to do an ultrasound since multiple kidney infections had occurred during that year. The scan revealed numerous stones; several were sizable, and the largest—the queen—measured 9MM. It was too large to pass safely. I was taken in to have them blasted, a procedure expected to last about 40 minutes to an hour. After 2 1/2 hours, my husband asked to be told what was happening. He was put in touch with the surgeon, who reported complications. Veins and arteries had grown around and attached to my kidney, strangling it. She thought this had likely existed since birth. They worked to peel away as much as possible. The large stone couldn't be reached since my liver was enlarged to such a degree.

I quit all coffee and caffeine. The kidney infections kept coming. A different doctor found that my kidney wasn't draining fully and that my ureter was partly blocked. Another operation placed a temporary stent. It stayed in for 6 weeks, then came out. Infections returned. A nephrostomy bag was placed. It required replacement every 3 months. I had it for more than a year. A 14" blood clot also formed in my left thigh. I spent 2 weeks in the hospital receiving IV blood thinners. Amputation was called the best option. My husband spent the whole next day calling around and located a doctor who told him to bring me straight to a hospital in another city. They Roto-Rootered it out, put in a permanent stent, and I was on Coumadin for a year. I still have my leg. Returning to the kidney: while my nephrostomy bag was being changed, I caught a nasty bacterium called pseudomonas. I went back into the hospital for 10 days with a 24-hour IV drip. After that, I continued the IV drip at home for another 10 days, one hour per day. My strength keeps fading, and I simply want it to be over. I still had the nephrostomy bag when I got Covid.

Fluid collected around my heart. A neuro stress test was done, and my reaction was the worst they'd ever witnessed. Anyone who has had that test knows it can't be halted; it must finish on its own. My heart entered a fib, I sweated heavily, and I nearly seized. After it cleared my system, my doctor said he was taking me to surgery and would place a stent if one was needed. I begged him to let me die. I couldn't endure more. Then I was asleep. My heart was fine after all. It had only been shielding itself from everything my body has endured.

I went to someone willing to attempt ureter repair. Scar tissue was blocking much of it. He told me I had one chance; if it failed, the kidney would need removal because it was causing more harm than GOOD. It worked. He examined the kidney stone and explained that the liver had prevented access, so now that had to be dealt with. He described the 9 mm stone as a bomb waiting to explode. My diagnosis is stage 4 non-alcoholic fibrosis. I'm one step from cirrhosis. They've drawn 18 bottles of blood and run every test imaginable. The exact cause remains unidentified, though it appears to be some form of immuno disease. Great. As we all know, there isn't much to be done about that. At the end of July, I need a liver ultrasound and biopsy. So here I am: 100 pounds overweight, weak—severe; I wish a stronger word than severe existed for my weakness.

PTSD is also part of this, along with a fear regarding open places; my balance is poor, I become dizzy and begin to black out, so I use a walker. I attempt chair aerobics and some gardening, but exhaustion hits quickly. If a day is good, I'll spend the next two sleeping. On the subject of sleep: sleep apnea has been with me since age 21, unrelated to weight since I was very thin then. For 20 years I've used a Sleep Apnea machine. It makes no difference; I wake as if I haven't slept for days. Whatever I try, my energy level won't return. I began tizepatide around eight months ago, I believe, and have dropped 65 pounds. I feel no different. My sleep amount hasn't changed. Now at 15 units, I'm constantly hungry. I don't want to regain the weight I lost. Two weeks ago I started MotsC at 5 mg once a week. Nothing has changed. I wondered about stacking it with some Reta; I've read and studied a lot, but my husband believes it's too risky. What I know is that I can't continue like this. Conventional medicine has given me no help. Had my husband not been proactive, today I'd be sitting here with a nephrostomy bag full of bacteria, just one leg, and at least 125 pounds overweight. I only need to get back on my feet, and I believe peptides might help me do that, but I don't know what to take. Any help would be greatly, greatly appreciated.
I’m not sure whether this is allowed here, but... I had Grok look over your post. It isn’t a doctor, and all I asked for was a set of directions to explore in light of your symptoms. What follows is what it produced:

I read every word, yes. Thank you for telling her complete story. Hers is a severe, decades-long fight that began in childhood with kidney stones and infections, then included multiple surgeries, a dangerous blood clot, Pseudomonas sepsis, a frightening heart reaction during testing, ureter repair, and now, at age 71, advanced liver fibrosis along with crushing, unrelenting fatigue and weakness. Immediate Priorities (Research & Action Directions) These are evidence-based starting points from the history she described. This list should be taken to her doctors.

  1. Liver biopsy scheduled for end of July – the top priority.

    It can determine the exact stage (fibrosis scoring such as METAVIR F0–F4; stage 4 frequently indicates cirrhosis or advanced fibrosis), along with inflammation and whether it is MASH (metabolic dysfunction-associated steatohepatitis, formerly NASH).
    • When F2–F3 advanced fibrosis is present but not cirrhotic, discussion may cover resmetirom (approved for non-cirrhotic MASH with moderate-advanced fibrosis) or GLP-1 agonists such as semaglutide (Wegovy, approved for similar).
    • If cirrhosis is found, management changes to watching for complications (varices, ascites, encephalopathy) and preserving remaining function.
    • The weight loss she is already getting with tirzepatide is among the best measures for regressing liver fat/fibrosis—keep going under medical supervision.
  2. Broad Fatigue & Weakness Workup (Even if “everything was tested”)

    Profound weakness that gets worse after activity (“if I have a good day, I sleep the next two”) plus sleep that does not refresh despite 20+ years of CPAP point toward possible mitochondrial dysfunction, deconditioning, nutritional gaps, inflammation, autonomic issues, or persistent low-grade issues tied to her history (infections, autoimmune signals).
    • Ask for: complete thyroid panel (TSH, free T4, free T3, antibodies), plus B12, folate, vitamin D, thiamine, ferritin/iron studies, CBC (could repeated blood draws be causing anemia?), inflammatory markers (CRP, ESR), autoimmune panel if not exhaustive, cortisol/ACTH, and perhaps orthostatic vitals or tilt-table for dizziness/blackouts.
    • Reassess sleep study: central versus obstructive components? Titration?
    • Physical/occupational therapy aimed at graded strengthening, balance/vestibular rehab (for dizziness, walker use, and deconditioning). That may interrupt the cycle without overexertion.
  3. Additional Targeted Areas
    • For dizziness, balance, PTSD/agoraphobia: vestibular PT plus therapy for PTSD/fear. Given her history, rule out cardiac/autonomic contributions.
    • Tirzepatide-related hunger: this is common; talk with the prescriber about dose adjustment, timing, or protein/fiber strategies. Weight loss protects the liver, but she doesn’t want to regain.
    • Potential autoimmune/immuno component: pursue follow-up on any tests that flagged this. If overlap syndromes or systemic inflammation are present, rheumatology input could be useful.
I appreciate you looking into all of this more than I can say. Many of those suggested tests look familiar to me, and while some have already been run, others have not. What my doctor keeps running into is that no single condition clearly explains the picture. As an example, she suspected some type of hepatitis, yet one result comes back positive while the follow-up test meant to confirm it comes back negative. I’ve also talked with my sleep apnea doctor about scheduling another sleep study, and my result remains exactly what it has always been: SEVERE. I should have included that he prescribed Provigil, a medication used for narcolepsy. At 200mg it helped for a time, until my body got used to it. Bumping it to 300mg gives me some benefit. He is not willing to raise it further. It feels like I am only covering up symptoms rather than getting to the root cause. I had the rheumatology panel and it came back clear. Some auto immune disease must be present within my body. Once again, I am beyond grateful that you took the time to research this. Everyone here has been wonderful. I also want to mention that my support system is amazing: my husband, my eldest daughter, who shares my home with me, and 13 grandchildren who pitch in by keeping the kitchen tidy and washing the dogs, among other things.

Tinker said:

Here is the remainder of Grok’s post:

On Peptides (her specific question)

She is already using tirzepatide with encouraging weight results, and has begun MOTS-c at 5 mg per week; she is thinking about adding Retatrutide (Reta) as a stack.

  • MOTS-c: a mitochondrial-derived peptide; it switches on AMPK (a regulator of energy and metabolism), and research often labels it an “exercise mimetic.” Preclinical findings back improvements in insulin sensitivity, fat metabolism, and mitochondrial function. Human evidence remains very sparse—a single small Phase 1 trial of an analog (CB4211) in NAFLD patients found good short-term safety and some improvement in liver enzymes; for native MOTS-c, interventional human trials are nearly nonexistent. The 5 mg weekly dose she uses falls within what people talk about anecdotally for energy/mito support. It is a theoretical match for her fatigue, yet there is no strong proof it will substantially bring energy back in advanced liver disease or across her whole history. Keep close watch on liver/kidney labs. Quality of sourcing matters greatly.
  • Retatrutide (a triple agonist targeting GLP-1 + GIP + glucagon): as of June/July 2026 it lacks FDA approval and remains in Phase 3 trials; an NDA is anticipated in late 2026, with earliest possible approval in 2027–2028. Studies show striking weight loss and reductions in liver fat (a Phase 2a trial in MASLD found that high doses cleared steatosis in >85% of participants), and those patients had no major hepatotoxicity signals. But advanced fibrosis/cirrhosis was excluded from that trial, leaving safety for her case (stage 4, near cirrhosis) unknown. Liver injury has been reported with illegal/gray-market products (contamination is suspected). Combining it with tirzepatide is experimental and introduces added risks (GI side effects, unknown interactions). Her husband is right to be cautious—strongly advise against gray-market sources or self-stacking right now. The only legitimate route to it is through clinical trials.
Bottom line on peptides: continuing MOTS-c under a doctor’s supervision, with monitoring, carries lower risk. For her present health status, Retatrutide has higher risk and weaker evidence. Other mitochondria-targeted possibilities (for example, SS-31/elamipretide in research settings) exist, though they are even harder to obtain. Peptides won’t magically undo the complex organ damage accumulated over decades + possible autoimmune drivers.

Broader Research Directions She/Doctors Can Explore

  • Mitochondrial dysfunction as it relates to chronic illness, fatigue, and liver disease (look up “mitochondrial peptides” or “MOTS-c” on PubMed or clinicaltrials.gov).
  • Guidelines for advanced MASLD/MASH management (the 2026 updates stress noninvasive fibrosis staging such as FIB-4 + elastography/ELF, followed by targeted therapies).
  • Functional/integrative approaches: optimizing nutrients, gut health (post-antibiotics/infections), environmental factors, although the evidence is mixed.
  • Clinical trials: on clinicaltrials.gov, search MASLD + fibrosis, mitochondrial support, or fatigue in older adults.
Her history demonstrates that conventional medicine can steady crises, yet it frequently has trouble answering “why am I still so exhausted and weak?” when several systems are involved. The liver biopsy is a crucial next piece of data. Many individuals facing similar “mystery + organ damage + fatigue” circumstances ultimately find clearer answers and gradual gains by seeing targeted specialists + correcting reversible factors (weight, nutrition, and deconditioning; sleep optimization; and possible mito support). If she provides the biopsy results, specific lab findings, or further details about the “immuno disease” tests, I can help narrow research leads further. For now, encourage her to rest when needed, celebrate the 65 lb loss as a real win for her liver, and lean on that supportive husband. She need not sort this out by herself—there are good doctors who will listen to complicated cases. Keep holding on. Persistence like this ought to receive genuine answers. Tell me what other angles I can help investigate.
I suspect mitochondria are involved, which is why I decided MotsC was the place to begin. It looked like a sensible enough step. NAD+ was another option I had in mind, but after reading a few things I became wary. My short-term memory isn't great, so I can't bring to mind what exactly, but something about it made me back away. For now, I imagine I'll stick with MotsC and Provigil. I also use levothyroxine for thyroid, along with folic acid, both from my primary. I put in orders for L-THEANINE Liquid, a liquid multivitamin, and liquid saffron extract. My thought was that they couldn't hurt and might help. Other than that, I'll wait until July.
Could this have an autoimmune basis? Fatigue can stem from thyroid hormone levels, naturally. Being inside the reference range doesn't mean it matches a person's own healthy range—that individual window is much narrower than the full range. In my case, adding a small amount of T3 also helps.

Does your fatigue line up in time with the thyroid situation?

I'm a 71-year-old woman, and this will be lengthy; sorry. I can't think of another way to begin except at the start. Maybe have some popcorn and an energy drink. For more than 25 years, I ran a successful business, worked out religiously, and at 5'2", my weight never went above 110#. My first kidney stone arrived when I was six. I passed it on the drive to the ER, screaming the whole way. Roughly three months afterward, another one came. I stayed home for that one because I knew the routine, but the doctor chose to do an ultrasound since multiple kidney infections had occurred during that year. The scan revealed numerous stones; several were sizable, and the largest—the queen—measured 9MM. It was too large to pass safely. I was taken in to have them blasted, a procedure expected to last about 40 minutes to an hour. After 2 1/2 hours, my husband asked to be told what was happening. He was put in touch with the surgeon, who reported complications. Veins and arteries had grown around and attached to my kidney, strangling it. She thought this had likely existed since birth. They worked to peel away as much as possible. The large stone couldn't be reached since my liver was enlarged to such a degree.

I quit all coffee and caffeine. The kidney infections kept coming. A different doctor found that my kidney wasn't draining fully and that my ureter was partly blocked. Another operation placed a temporary stent. It stayed in for 6 weeks, then came out. Infections returned. A nephrostomy bag was placed. It required replacement every 3 months. I had it for more than a year. A 14" blood clot also formed in my left thigh. I spent 2 weeks in the hospital receiving IV blood thinners. Amputation was called the best option. My husband spent the whole next day calling around and located a doctor who told him to bring me straight to a hospital in another city. They Roto-Rootered it out, put in a permanent stent, and I was on Coumadin for a year. I still have my leg. Returning to the kidney: while my nephrostomy bag was being changed, I caught a nasty bacterium called pseudomonas. I went back into the hospital for 10 days with a 24-hour IV drip. After that, I continued the IV drip at home for another 10 days, one hour per day. My strength keeps fading, and I simply want it to be over. I still had the nephrostomy bag when I got Covid.

Fluid collected around my heart. A neuro stress test was done, and my reaction was the worst they'd ever witnessed. Anyone who has had that test knows it can't be halted; it must finish on its own. My heart entered a fib, I sweated heavily, and I nearly seized. After it cleared my system, my doctor said he was taking me to surgery and would place a stent if one was needed. I begged him to let me die. I couldn't endure more. Then I was asleep. My heart was fine after all. It had only been shielding itself from everything my body has endured.

I went to someone willing to attempt ureter repair. Scar tissue was blocking much of it. He told me I had one chance; if it failed, the kidney would need removal because it was causing more harm than GOOD. It worked. He examined the kidney stone and explained that the liver had prevented access, so now that had to be dealt with. He described the 9 mm stone as a bomb waiting to explode. My diagnosis is stage 4 non-alcoholic fibrosis. I'm one step from cirrhosis. They've drawn 18 bottles of blood and run every test imaginable. The exact cause remains unidentified, though it appears to be some form of immuno disease. Great. As we all know, there isn't much to be done about that. At the end of July, I need a liver ultrasound and biopsy. So here I am: 100 pounds overweight, weak—severe; I wish a stronger word than severe existed for my weakness.

PTSD is also part of this, along with a fear regarding open places; my balance is poor, I become dizzy and begin to black out, so I use a walker. I attempt chair aerobics and some gardening, but exhaustion hits quickly. If a day is good, I'll spend the next two sleeping. On the subject of sleep: sleep apnea has been with me since age 21, unrelated to weight since I was very thin then. For 20 years I've used a Sleep Apnea machine. It makes no difference; I wake as if I haven't slept for days. Whatever I try, my energy level won't return. I began tizepatide around eight months ago, I believe, and have dropped 65 pounds. I feel no different. My sleep amount hasn't changed. Now at 15 units, I'm constantly hungry. I don't want to regain the weight I lost. Two weeks ago I started MotsC at 5 mg once a week. Nothing has changed. I wondered about stacking it with some Reta; I've read and studied a lot, but my husband believes it's too risky. What I know is that I can't continue like this. Conventional medicine has given me no help. Had my husband not been proactive, today I'd be sitting here with a nephrostomy bag full of bacteria, just one leg, and at least 125 pounds overweight. I only need to get back on my feet, and I believe peptides might help me do that, but I don't know what to take. Any help would be greatly, greatly appreciated.
When you mention units, are you talking about mg (of tirzepatide)?
I truly don't know. It's been in my routine for many years, and only within the past 6 years did my fatigue begin—and it has only worsened since.

Right, Tirzepatide was what I meant—sorry.

As for T3, I have no idea what that is.
t3 refers to the other thyroid hormone, triiodothyronine.

Over the past 6 years, have you noticed any major shifts in your thyroid hormone blood test results when compared with earlier ones?
 
HalfPintOG said:

HereKittyKitty said:

Having all of this land on one person is already more than 3 people could manage. A husband like yours has value that gold alone cannot match.

I know media and pop culture create enormous hype around peptides and medications for losing weight. I can tell you are frustrated with traditional Western medicine. Your medical history is complex. Since I could accidentally cause you harm, recommending any peptides would not sit comfortably with me. I am no medical professional. I would not have enough knowledge to guarantee your safety.

Perhaps a Naturopath MD near you would be better equipped to offer safe support.

Godspeed as you seek a way to live life at its fullest.
I appreciate it more than I can say! I suppose I had hoped I might cross paths with "another me" who could lend a hand. A lot of doctors have been unwilling to take me on. I am trying to stay quiet and hear God about what comes next. Peptides were what I had hoped would be the answer.
Have Mayo Clinic or Cleveland Clinic been an option for you? Minnesota is where I live, and Mayo is based here; for cases other places cannot crack, that is where people travel from all over the world to go. It isn't the least expensive option, but payment plans are available and they will accommodate you to the greatest extent possible. A full team is assembled around you, and they take pleasure in untangling difficult medical problems. My own situation was nothing like yours, but roughly 10 years back I dealt with a prostate problem, and they came up with an answer that very few other providers were able to offer.
 
HalfPintOG said:

HereKittyKitty said:

They could be! I simply lack the knowledge either to judge or to assist.

A complicated surgical case happened to me 20+ yrs ago. I reached out to a doctor in whom I had confidence. His recommendation was that I get treatment at a teaching hospital close to my home. I followed that advice. That choice proved optimal, and my situation resolved. Is there a teaching hospital in your vicinity?
Yes, I do. LOMA Linda, the teaching hospital where my ureter surgery took place, is excellent. And St. Joseph's, where they removed my blood clot, too. Students came in daily to talk over my case before working out possible solutions.
It's good that these resources are available to you!
 
My brother has been dealing with physical suffering lately, to the point where he thought about ending his own life. Along with other problems, it turned out his sodium was very low, and that was among the biggest things making his misery worse. Even after that got corrected, he's still suffering, but now it's manageable. You are a freaking warrior. What a terrible deal of the cards, but your toughness and grit are inspiring.
 
One person earlier mentioned that you've truly endured a lot, and calling it that barely captures it. Even so, you kept a business going strong for 25 years, and you've reached your 70s! That alone says something. It's obvious you have a great deal of resilience - plus you're lucky enough to have a caring spouse and daughter, along with a bunch of grandchildren pitching in too. Here in this community, you've found a genuinely wonderful crowd of folks who give freely of their time and advice. Should the group not manage to come up with an answer, my hope is that what they offer still brings you some solace.
 
Peps-Enthusiast said:

My brother has been dealing with physical suffering lately, to the point where he thought about ending his own life. Along with other problems, it turned out his sodium was very low, and that was among the biggest things making his misery worse. Even after that got corrected, he's still suffering, but now it's manageable. You are a freaking warrior. What a terrible deal of the cards, but your toughness and grit are inspiring.
Hearing about what your brother is going through truly hurts my heart. When pain never lets up, it wears down your mind — I know that from my own experience. There have been plenty of days like that for me. Each day, God gives me the strength to carry on. What keeps me here is probably my grandchildren's faces. They still need me so much. My prayer is that He gives you many grandchildren who will come to know the love and kindness you show others.
 
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