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It exerts its effects through multiple mechanisms, including: VEGF receptor modulation (vascular endothelial growth factor)promoting angiogenesis and blood vessel formation Growth hormone receptor interaction facilitating tissue repair and regeneration Nitric oxide pathway activation improving blood flow and reducing oxidative stress FAK-paxillin pathway signaling crucial for cell migration and wound healing Modulation of inflammatory cytokines reducing excess inflammation while preserving healing responses These are cascading processes
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Gastrointestinal symptoms including nausea, vomiting, diarrhea, constipation, and abdominal discomfortare the most frequently reported adverse effects, occurring in 20-30% of patients (varying by dose and population), particularly during dose escalation
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