this isnt advice to go and make this or anything given theres a whole bunch of unknowns around this particularly relating to PPARy agonist effects on blood vessels as well as cumulative effects of stem cell deprivation on organ and bone tissue, but ive been using a topical formulation of pioglitazone .08% + 5% adifyline solution in a hand sanitizer base on my thighs and upper cheeks the last couple months to gain volume and it looks like its working pretty well. ive gained 14 lbs doing it which seems like a lot and it is for sure, but my body is defintely fuller where ive been applying it. theres a distinct change in shape with more volume in those areas relative to other areas, not enough to completely reshape my face in that period, but enough that im feeling a lot more confident about my face and such. its possible that a substantial portion of the volume is due to water retention in these areas, but im praying that they continue to increase and i see no signs of edema. if thats the case then ive almost certainly created a substantial amount of new fat tissue in my cheeks and on my thighs and hips.