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Among the upregulated genes are those encoding DNA repair enzymes (BRCA1, ATM), extracellular matrix proteins (COL1A1, COL3A1, ELN) and antioxidant enzymes (SOD1, SOD2, GPX)

You have cardiovascular concerns

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Take, for example, a 2022 trial of 338 participants that compared its effects to those of another GLP-1 RA, liraglutide

Studies have explored its interaction with copper-dependent enzymatic systems, extracellular matrix turnover, and pathways regulating collagen production and cellular regeneration processes