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[64], which involved a co-culture of primary astrocytes with the bEnd.3 endothelial cell line, incubation with exendin-4 reduced the levels of the astrocyte-derived vascular endothelial growth factor (VEGF-A), matrix metalloproteinase-9 (MMP-9), chemokine monocyte chemoattractant protein-1 (MCP-1), and the chemokine C-X-C motif ligand 1 (CXCL-1), induced by oxygenglucose deprivation (OGD), and subsequently led to the increased expression of tight junction proteins in the bEnd.3 cells

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(When I asked ChatGPT to find compounding pharmacies that provide GLP-1 agonists, it could not produce any.) That means most patients will have to rely on autopen devices, which provide higher doses than typically used in ME/CFS, or vials

Individuals enrolled in other nutrition programs or receiving meal plans were excluded