The New England Journal of Medicine , 10.1056/NEJMoa2511774
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More recently, a small-molecule APJ agonist partnered with BioAge failed in clinical development due to hepatotoxicity unrelated to target engagement, highlighting that off-target toxicity can arise independently of the signaling bias hypothesis (Ryffel et al., 2023)
Try to take it at the same time each day to keep your levels steady
However, severe complications such as profound dehydration, electrolyte disturbances, and hypoglycemia (especially when combined with insulin or sulfonylureas) can potentially become serious or life-threatening if not properly managed