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It is about using the right therapy, at the right dose, under medical supervision
The growth hormone receptor upregulation mentioned earlier proves particularly relevant for tendons
A decrease in the expression of the pro-ferroptotic proteins ACSL4, TFR1, and VDAC2/3 and a decrease in dihydroethidium (DHE) fluorescence, iron, malondialdehyde (MDA), and myeloperoxidase (MPO) were further observed in metformin-treated mice
Lack of verification: no independent body routinely checks gray-market products
Kooy A et al (2009): Long-term effects of metformin on metabolism and microvascular and macrovascular disease in patients with type 2 diabetes mellitus
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