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Mechanistically, the consistent threads are collagen up-regulation, angiogenesis support, and modulation of nitric-oxide pathways all of which are biologically plausible drivers of the observed soft-tissue effects
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Who Is at Highest Risk Patients most vulnerable to additive hypotension from this combination fall into several identifiable categories
Contrast: DSIP is positioned as cleaner on next-day cognition (anecdotal), though evidence remains limited
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