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The side effects are primarily those associated with tirzepatide itself: nausea, constipation, diarrhea, decreased appetite, and injection site reactions

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Similarly, in mice, Euterpe oleracea exhibits variable effects on antioxidant pathways and cell growth by upregulating -adrenergic signaling while downregulating apoptosis and proinflammatory signaling ( In vitro studies using HGL5 cells, melatonin has been demonstrated to restore glycolysis, tricarboxylic acid (TCA) cycle activity, and redox balance, effectively protecting oocytes (Tsui et al., 2024)

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