The regulatory landscape remains fluid
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Beacuse of its importance as a source of NADPH for fatty acid synthesis, you would expect to find a high activity of the pathway in tissues that synthesise fatty acids: liver, adipose tissue and lactating mammary gland
doi: 10.1016/j.cmet.2015.01.008 40 PitzerV
The combination hypothesis is that addressing both vascular/mucosal protection (BPC-157 territory) and cellular motility required for tissue remodeling (TB-500 territory) may produce better outcomes than either alone, though this needs study-specific verification
Given the heterogeneity in study populations and the predominance of post hoc analyses, further prospective research is essential to clarify these mechanisms and to evaluate whether personalized, sex-specific approaches to GLP-1 RA therapy could improve obesity treatment outcomes