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Conversely, BACH1 knockdown not only inhibited BPC157-induced HUVEC proliferation and tube formation but also blocked the expression of these proangiogenic factors, confirming that BACH1 is the pivotal downstream effector of the BPC157-FBXO22 axis

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Limitations Effects are likely to be modest and gradual

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Patients should be counseled about contraception (with backup methods during tirzepatide initiation/dose increases), hydration to prevent kidney injury, and monitoring for gallbladder symptoms