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Exenatide was also shown to decrease the number of senescent endothelial cells and improve their survival after a hydrogen peroxide challenge by modulating signaling through Sirt1, PPAR, and PGC1 [103]

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Side effect profiles between Semaglutide and Retatrutide show similar gastrointestinal patterns, though Semaglutide demonstrates slightly higher nausea rates (44% versus 28%) at comparable efficacy doses

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The use of different critical appraisal tools allowed us to evaluate each according to its design, but direct comparison of findings across these diverse methodologies remains challenging

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