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    Protocol Guide

    The Mitochondrial Peptide Stack That Supercharges GLP-1 Results

    GLP-1 medications handle appetite and glucose beautifully, but they don’t automatically upgrade the cellular machinery that turns stored fat into clean energy. That’s why advanc…

    GLP-1 medications handle appetite and glucose beautifully, but they don’t automatically upgrade the cellular machinery that turns stored fat into clean energy. That’s why advanced clinics pair their GLP-1 regimens with a mitochondrial stack built around MOTS-c, SS-31, and AOD-9604. This trio transforms weight loss from a calorie deficit into a full-blown bioenergetic renovation—less fatigue, faster fat flux, and sturdier recovery.

    Why Layer Mitochondrial Peptides on Top of GLP-1s?

    Pain Point Without SupportWhat the Stack Fixes
    Adaptive thermogenesis slows resting metabolic rateMOTS-c activates AMPK, drives mitochondrial biogenesis, and keeps oxidation high
    Mitochondria leak electrons under heavy fat flux, producing fatigueSS-31 repairs cardiolipin in the inner membrane for cleaner ATP production
    Visceral fat is stubborn even with GLP-1 + exerciseAOD-9604 targets stubborn adipose depots without systemic GH side effects

    Together, they ensure liberated fat is actually burned and recovery matches the new workload.

    Meet the Stack

    MOTS-c — The Mitochondrial Genome’s Wake-Up Call

    • Primary role: Increases AMPK activation and mitochondrial density, especially in muscle tissue.
    • Best for: Athletes on tirzepatide/retatrutide who want endurance and work capacity to rise with fat loss.
    • Cadence: 10 mg subcutaneous 3× per week, 6 weeks on / 4 weeks off.
    • Pro tip: Schedule injections on training days to sync with higher energy demand.

    SS-31 — Clean Energy, Less Oxidative Drag

    • Primary role: Binds cardiolipin in the inner mitochondrial membrane to prevent electron leak and ROS buildup.
    • Best for: Clients reporting “wired but tired” or recovery lags by week 8 of GLP-1 therapy.
    • Cadence: 10 mg IV/IM 2× per week for 12 weeks.
    • Pro tip: Pair with electrolytes and zone-2 cardio to feel the pronounced stamina bump.

    AOD-9604 — The Lipolytic Amplifier

    • Primary role: GH fragment that accelerates fatty-acid release without raising insulin or IGF-1.
    • Best for: Breaking stubborn fat plateaus, particularly around the midsection.
    • Cadence: 300–500 mcg SC daily or 5× per week.
    • Pro tip: Inject in the morning and maintain hydration; combine with L-Carnitine for even better fat shuttling.

    Implementation Playbook

    1. Stabilize the base first. Maintain at least four weeks on your GLP-1 stack (plus NAD⁺, Tesamorelin, L-Carnitine) before layering in mitochondrial peptides.
    2. Introduce MOTS-c and SS-31 together. They reinforce each other: MOTS-c drives new mitochondria, SS-31 keeps them efficient. Add AOD-9604 in week 3 if plateaus persist.
    3. Upgrade training intelligently. Expect faster recovery—plan deloads every 5–6 weeks to prevent accidental overreaching.
    4. Monitor biomarkers. Check CMP, lipids, fasting glucose, and inflammatory markers at baseline and week 12; look for reductions in CRP, LDH, and improved HDL/TG ratios.
    5. Respect cycling. Run mitochondrial blocks for 12 weeks, then transition to maintenance (SS-31 2× weekly, optional MOTS-c pulses) while deciding whether to step into a full Expert protocol.

    What You Can Expect to Feel (and Measure)

    • Week 2: Better zone-2 cardio capacity, steadier heart rate variability, reduced post-workout soreness.
    • Weeks 4–8: Noticeably warmer metabolism, leaner midsection, higher ceilings in strength endurance sessions.
    • Week 12: Lower waist circumference, improved lactate threshold, and metabolic lab markers trending in the right direction.

    Troubleshooting

    • Too much fatigue early on? Check calorie intake—you can’t run a mitochondrial upgrade on poverty macros. Raise carbs around training.
    • Injection site irritation (AOD-9604)? Rotate sites more aggressively and consider 5-on/2-off cadence.
    • No improvement in labs? Reassess compliance with movement and electrolytes; the stack amplifies good habits but cannot replace them.

    Key Takeaways

    • GLP-1s control intake; mitochondrial peptides determine how cleanly you convert that deficit into energy.
    • MOTS-c, SS-31, and AOD-9604 are the core trio; they stack beautifully with Tesamorelin, NAD⁺, and L-Carnitine.
    • Plan the cycle, monitor biomarkers, and respect recovery to keep the upgrade sustainable.
    • When you’re ready for whole-system regeneration, the Expert protocol adds connective-tissue repair peptides (BPC-157, TB-500) and circadian modulators (Ipamorelin, DSIP).

    Build this stack thoughtfully and your GLP-1 journey becomes more than weight loss—it becomes a metabolic reset that you can actually feel.


    MITT Stack Applications

    For Injury Recovery

    The MITT-Stack is Tier IV in the complete injury recovery system:

    TierProtocolFocusWhen to Use
    IWolverine StackBPC-157 + TB-500 for vascular restorationAcute injury (Weeks 1-4)
    IIGLOW/KLOW StackNAD+ + GHK-Cu + KPV for energy & collagenTissue rebuilding (Weeks 4-10)
    IIIGH/EPO FragmentsARA-290 + Tesamorelin + IpamorelinChronic injury (12+ weeks)
    IVMITT StackSS-31 + MOTS-c + NAD+ for cellular regenerationAdvanced mitochondrial optimization

    Related MITT Resources

    • MITT-Stack White Paper — Scientific deep-dive on SS-31, MOTS-c, and NAD+ mechanisms
    • MITT Stack for Injury Recovery — Tier IV implementation guide for complete healing
    • GLP-1 Journey Checklist — Complete 6-step GLP-1 protocol workflow