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The reported effects were not dose-dependent

This may be due to reduced neutrophil infiltration, matrix metalloproteinase 9 (MMP9) levels, and cysteine availability, which impaired the synthesis of collagen, secreted protein acidic and rich in cysteine (SPARC), and cysteinyl leukotrienes, all of which contribute to fibrotic remodeling [126]

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Until more research is available, the safest approach is to stop the medication before trying to conceive

Zehetner about treating reflux using GLP-1 agonists, which mimic the bodys own GLP-1 hormone