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Regulatory cell death modalities include classical apoptosis, necroptosis, pyroptosis and ferroptosis, with ferroptosis as a novel regulatory cell death driven by iron-dependent lipid peroxidation, is regulated by intracellular iron metabolism, lipid metabolism, the GSH/GPX4 repair system, coenzyme Q10, and other genes 26,27,28,29

The clinical evidence demonstrates that dual agonism can achieve therapeutic outcomes that substantially exceed those of single-pathway approaches, challenging fundamental assumptions about optimal treatment strategies for diabetes and obesity

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