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This is in line with the reported specificity of CPA, which is C-terminal amino acid residues with branched aliphatic or aromatic side chains 64

The screening process for research subjects is illustrated in Figure 1

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What Remains Essential With or Without Medication Thorough medical evaluation and ongoing clinician supervision Sustainable diet and physical activity changes Patience with realistic timelines, as trials evaluated outcomes over 64 weeks or longer Awareness of potential risks and side effects Individual results vary widely based on adherence, lifestyle factors, medical history, and biological response

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