MOTS-c is metabolic, not anabolic
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Senescence occurs when the cell is too damaged to continue dividing into more cells, but is stopped from completing apoptosis for some reason
PMC 8740554
It appears on the FDAs list of certain bulk drug substances that may present significant safety risks in compounding contexts
Patients use it for joint pain, muscle tears, tendon inflammation, and digestive repair (such as ulcers or leaky gut)