The zero-ingredient batch report is the supply-chain risk that group purchases carry more than established vendors - the test result is what matters here. For post-op cardiac situations, the RHR increase from Reta's glucagon component is the real factor to evaluate: Reta drives more glucagon signaling than Tirz or sema, and that cardiac load in the months after surgery needs a cardiology clearance conversation. If your dad is cleared for moderate aerobic exertion, the RHR bump is likely manageable. If not, Tirz is the lower glucagon-load option for the same metabolic benefit.