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But lets examine them on a more granular level
Additionally, cocaine induces apoptosis in cerebral vascular smooth muscle cells, contributing to vasoconstriction and ischemia, resulting in significant neurological damage ( 3.2 Neurological damage and psychiatric symptoms The neurological effects of cocaine include diffuse leukoencephalopathy, which is characterized by vasospasms, cerebral ischemia, and posterior reversible leukoencephalopathy (Rowbotham and Lowenstein, 1990
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During the phase 3 trial that measured outcomes at 20 weeks, most participants were able to reach the full dose and also lost more weight as their dose was increased
Microbiota-derived metabolites represent a plausible mechanistic interface: SCFAs and secondary bile acids can strengthen epithelial barrier function, modulate host metabolism via FXR- and TGR5-dependent signaling, and attenuate low-grade inflammation, potentially reinforcing pharmacologically targeted pathways