Retatrutide: evidence now greater than just weight loss
Emerging research: a 2026 combined analysis of randomized trials shows retatrutide moves blood pressure and cholesterol numbers β not just weight. Still not approved.
Please sign in to access your dashboard.
Sign In to Your AccountNot a member yet? Join the Community β
Member Dashboard
Your physician-curated research platform is ready.
Vanguard Optimization provides physician-led education, not medical advice. The AI assistant, supplement stack tracker, and monograph library are research tools β not a substitute for licensed clinical care. For anything involving your personal labs, dosing, symptoms, interactions, or whether content here applies to your situation, consult your clinician. We do not prescribe, diagnose, or establish doctor-patient relationships through this platform.
The short list that survives the evidence β every supplement graded, and updated as new compounds earn their place. Included with your membership.
Vanguard AI β Online
Evidence-based answers on supplements, hormonal health, peptides, longevity protocols, and metabolic optimization β available 24/7.
Track your supplements and receive literature alerts on what you take.
Physician-sequenced routes through the library β foundational to advanced, one topic at a time.
Browse physician-reviewed research by topic.
Sleep & Recovery
Sleep quality, sleep aids, recovery practices, sleep trackers
Skin, Hair, & Aesthetic
Topicals, procedures, hair-loss treatments, aesthetic medicine
Diagnostics & Tracking
Lab tests, imaging, biomarkers, wearables, fitness tests
Safety & Interactions
Contraindications, interaction matrices, harm-reduction principles
Unlock the full library β cardiovascular, metabolic, cognitive, hormonal, sexual health, longevity, and more.
Upgrade to Optimized β
Cardiovascular & Lipids
Heart, blood pressure, cholesterol, atherogenic markers, anti-inflammatory CV
Metabolic & Body Composition
Weight, glucose, insulin, GLP-1s, fasting protocols, body recomp
Cognitive & Mental Health
Brain, focus, mood, anxiety, neuroprotection, nootropics
Sleep & Recovery
Sleep quality, sleep aids, recovery practices, sleep trackers
Sexual & Reproductive Health
ED, libido, fertility, sexual-axis function
Hormonal Optimization
TRT, thyroid, growth hormone axis, gonadotropins, DHEA, pregnenolone
Skin, Hair, & Aesthetic
Topicals, procedures, hair-loss treatments, aesthetic medicine
Longevity & Anti-aging
Senolytics, NAD precursors, mTOR, autophagy, epigenetic age, bone density
Diagnostics & Tracking
Lab tests, imaging, biomarkers, wearables, fitness tests
Safety & Interactions
Contraindications, interaction matrices, harm-reduction principles
Upgrade to Vanguard for weekly literature alerts (vs. monthly) and priority AI Research Assistant routing on complex personal-situation questions.
Upgrade to Vanguard βRecently published protocols and summaries.
Emerging research: a 2026 combined analysis of randomized trials shows retatrutide moves blood pressure and cholesterol numbers β not just weight. Still not approved.
N-acetylcysteine is an FDA-approved antidote for acetaminophen overdose; randomized trials leave most over-the-counter capsule wellness claims weakly supported or null.
Methylene blue for oral use is a real drug, not a benign supplement. One small acute imaging study (Rodriguez 2016, n=26, 2 mg/kg) drives the cognitive claim. The Alzheimer's tau story is about a different molecule (LMTX). Serotonin syndrome risk with SSRIs, SNRIs, MAOIs is FDA-warned.
Boron for men's health β the entire optimization case rests on one small pre-post study in eight men (Naghii 2011). No proper RCT replication exists. Safety margin at 3β10 mg/day is generous (adult UL 20 mg/day). Defensible as a low-cost hedge; not a testosterone move.
Per 1,000 asymptomatic adults screened with WB-MRI: ~950 abnormal findings, ~15-20 cancers, ~30% trigger workup. Zero RCT mortality evidence. ACR does not recommend for average-risk adults. Vanguard's read on Prenuvo, Ezra, Q Bio.
The NHS-Galleri trial missed its primary endpoint at ASCO 2026. High specificity (~99.6%) and PPV (52-62%), modest sensitivity (~30-40% all cancers), zero mortality data. $949 cash pay. No FDA approval as screening. Vanguard's read on the largest multi-cancer detection trial to date.
Before you begin
This assistant provides general educational information about supplements, hormones, peptides, and evidence-based protocols. It is not a physician and does not diagnose, prescribe, or create individualized treatment plans. For personal medical decisions, dosing, lab interpretation, or symptoms β consult a licensed clinician.
Bug report, content request, or general comment β we read everything.