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After decades focused almost exclusively on immunosuppression, the field is increasingly recognizing that effective MS management requires repair and neuroprotection alongside immune modulation

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It is suitable for GLP-1 analogues, amylin analogues, most neuropeptides, and the majority of water-soluble peptide compounds supplied by Peptides Lab UK

2.5 Quality assessment and risk of bias In line with PRISMA guidelines, the assessment of methodological quality was conducted to evaluate the strength of evidence, recognising that methodological limitations may introduce bias

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Explored as a possible aid for recovery and lean-mass preservation in frail or catabolic populations, though a Merck-sponsored Phase 2b trial in elderly hip-fracture patients (Adunsky et al., 2011, Archives of Gerontology and Geriatrics, PMID 21067829) was halted early over a cardiac safety signal rather than demonstrating a clear functional benefit