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Here's the TL;DR on vitamin timing: while there is no official medical advice dictating that you should take vitamin supplements at a specific time of day to improve their efficiency, there is quite a lot of research showing that avoiding some vitamin supplements at particular times (or more accurately, with particular meals) can improve absorption, or that taking some vitamins alongside food can reduce the risk of adverse side effects
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The fastest way to choose the right next step is to match what you feel with key patterns: sudden vs gradual, which fingers or arm areas are affected, and any associated symptoms such as chest pressure, shortness of breath, facial droop, or speech difficulty
TESAMORELIN (10mg) remains an investigational peptide with limited human clinical data
Labs that work with it treat the peptide as a tool for generating hypotheses and exploring mechanisms, not as a finished treatment