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Her medical history included type 2 diabetes (T2D), polycystic ovary syndrome (PCOS), and non-alcoholic fatty liver disease (NASH) with fibrosis at F3 stage and ALT and AST levels 8 times higher than normal [37]

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Food Chemistry, 135, 14401447

We therefore assume that these products would demonstrate bioequivalence comparable to the international reference drug, which is particularly important because these are peptide-based medications, he says, adding that manufacturing, storage, transport, and use of peptides require stringent quality controls, such as maintaining a proper cold chain, to preserve their bioavailability and efficacy