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Figure 5 Downstream cellular mediators of Dihexa protection Activation of the receptor tyrosine kinase c-Met leads to the recruitment of many signaling mediators and ultimately the activation of downstream signals, most notably Akt-TOR and Ras-ERK (Organ and Tsao, 6A)

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Reported pattern in community references: Months 03: body composition shifts through the deficit fat loss with some lean-mass loss expected Months 47: layering cagrilintide adds satiety without adding additional energy-expenditure mechanism body-composition trajectory continues at the prior ratio Months 7+: at maintenance, training stimulus and protein intake dominate body-composition outcomes more than the peptide stack does Whether layering SLU-PP-332 would meaningfully shift the body-composition trajectory by adding an output-side mechanism is unstudied

Restoration of leptin responsiveness in diet-induced obese mice using an optimized leptin analog in combination with exendin-4 or FGF21