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The study enrolled 338 adult participants who met specific eligibility criteria

Kidney Int 81:762768 Correia-Costa L, Sousa T, Morato M, Cosme D, Afonso J, Areias JC, Schaefer F, Guerra A, Afonso AC, Azevedo A, Albino-Teixeira A (2016) Oxidative stress and nitric oxide are increased in obese children and correlate with cardiometabolic risk and renal function

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Only when these foundations are solidand the patient has demonstrated commitment to maintaining themwould I consider peptides as a potential adjunct to enhance what we've already built, not to replace the building itself