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Under conditions of oxygen-glucose deprivation (OGD), astrocytes have also been observed to undergo abnormal activation, participating in mediating neuronal dysfunction through the secretion of inflammatory components [130]

Additionally, while drugs like SGLT2 inhibitors and GLP-1 receptor agonists have demonstrated benefits in improving cardiac function and glucose metabolism in patients with DCM (107, 108, 111, 113), their side effects present significant limitations in clinical practice

Case example : A patient receives office visits, often for evaluation of musculoskeletal complaints

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Some peptides can degrade or become inactive when combined