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As a result, womenespecially in midlifewere routinely excluded from trials, and clinical guidance lagged behind lived reality

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48 In the Tirzepatide as Compared with Semaglutide for the Treatment of Obesity (SURMOUNT-5) trial in adult participants with obesity but without T2DM, tirzepatide (10 mg or 15 mg) achieved greater weight loss compared with semaglutide (1.7 mg or 2.4 mg weekly dose): 20.2% (95% CI 21.4 to 19.1) versus -13.7% (95% CI 14.9 to 12.6) at week 72

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Interestingly, both hMSC-Ex-4 and wild-type hMSC treated with soluble Ex-4 exhibited elevated mRNA expression of GLP-1-R in a dose-dependent manner, suggesting a feedback mechanism that may potentiate hMSC responsiveness to Ex-4 [18]