TXNIP downregulates V-maf musculoaponeurotic fibrosarcoma oncogene homolog A (MafA), a transcription factor to drive insulin expression, and thus negatively regulates insulin expression 25
At the 2.4mg maintenance dose, a 10mg vial lasts only 4.16 weeks, which aligns almost perfectly with the 28-day reconstitution window
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For the 9 mg target, doses increased in steps at 2 mg, 4 mg, and 6 mg, with increases every four weeks until reaching 9 mg