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Both are biologically plausible, and both have limited supportive human evidence

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The profibrotic mechanism of ferroptosis is closely related to the TGF-/Smad pathway, and targeting ferroptosis and increasing GPX4 expression could be an effective strategy for treating CKD

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For dual agonists: because they are stronger, the sideeffect profile may be similar or somewhat amplified

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Its also generally accepted that they work by targeting the brains reward systems, which could explain why they may help with addiction

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