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Compounding pharmacies and direct-to-consumer telehealth platforms functioned as an informal distribution layer for GLP-1s, demonstrating how quickly parallel care pathways can scale when incentives align

J Microencapsul 34(4):335341 Chessell IP, Hatcher JP, Bountra C et al (2005) Disruption of the P2X7 purinoceptor gene abolishes chronic inflammatory and neuropathic pain

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Declining oestrogen reduces insulin sensitivity, redistributes fat to the abdomen, and triggers a rise in chronic low-grade inflammation

This pathway controls tendon fibroblast migration and survival, directly influencing the cellular repair process