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[57] It does this by upregulating phosphorylated IRS-1 and activating pathways (like AMPK/SIRT1) that promote the transport of the GLUT4 glucose transporter to cell membranes in muscle and adipose tissue, thereby increasing overall cellular glucose uptake

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Impaired mitophagy permits accumulation of dysfunctional mitochondria, establishing a feed-forward cycle of oxidative stress within the supraspinatus

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The BSH recommends that treatment decisions should be based on clinical presentation rather than borderline laboratory values alone

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