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ATF6, a regulator of ER stress, can augment XBP1S gene expression and modulate ER stress-mediated apoptosis via caspase-3 and caspase-12 in OA cartilage 13

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Herbal preparations that affect blood glucose levels, such as ginseng, fenugreek, or bitter melon, may have additive glucose-lowering effects when combined with semaglutide, potentially increasing the risk of hypoglycemia particularly in patients receiving other antidiabetic medications