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This disruption occurs through multiple mechanisms, including direct androgen receptor antagonism, altered steroidogenesis, and interference with androgen-regulated gene expression patterns

Phospholipase A2 is overactivated during SAP, destroying pulmonary surfactant and inducing inflammation through accumulation of eicosanoids and platelet-activating factor [105]

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Improperly stored or handled peptides can degrade before use, reducing efficacy or, in some cases, producing unintended effects