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this may constitute a protocol deviation requiring formal documentation and reporting Do not source retatrutide outside of an approved clinical trial it is not currently licensed for use in the UK, and obtaining it through unofficial channels carries significant safety and legal risks Consult the MHRA website (www.gov.uk/mhra) for the latest information on the regulatory status of retatrutide in the UK Once retatrutide receives regulatory approval, an official SmPC will be published, providing definitive storage guidance for both healthcare professionals and patients

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In the early stage, inflammation leads to the secretion of inflammatory and pro-degradative mediators, including cytokines such as interleukin-1 (IL-1), interleukin-6 (IL-6), and tumor necrosis factor- (TNF-), lipid mediators such as prostaglandin E2 (PGE 2 ), and matrix metalloproteinases (MMPs) by macrophages and fibroblast-like synoviocytes 7,10

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