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Stamler J, Mendelsohn D, Amarante P, Smick D, Andon N, Davies PF, Cooke JP, and Loscalzo J (1989)

A prospective clinical trial conducted in India reported a significant decrease in LFC, but liver enzymes, liver stiffness, and pancreatic fat did not show statistically significant differences after 24 weeks of treatment with dulaglutide 1.5 mg in patients with MASLD and T2DM

The, we gave it the muscles a chemical insult, and beta hydroxybutyrate actually made the muscle cells more robust and resistant to injury