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Cartalax operates via the "Sequence-Specific DNA Binding Model." Its nanoscale size allow it to pass through nuclear pores and bind to the major groove of DNA

At the protein level, LPP has been demonstrated to stimulate the expression of Sox9, aggrecan, and collagen II, with significant increases observed in Sox9 and aggrecan levels and in collagen II expression

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It acts pleiotropically , the technical term for the fact that it activates multiple signaling pathways in the cell at once

This phased approach mirrors how the brain itself heals: first survive, then stabilize, then rebuild