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Most patients do not experience any adverse side effects
Autoimmune conditions: May require lower starting doses and immune-first strategies Multiple injuries: Sequencing may matter more than stacking everything at once Complex medication regimens: Interaction review is essential Severe deconditioning: Foundational rehab may need to precede peptides These cases highlight why clinician guidance matters
One was to find something that could protect it, the second was to eliminate the enzyme that destroys it and the third was to make it more stable (Molteni)
DPP-4=dipeptidyl peptidase-4
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