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They are legal when prescribed by a licensed physician and prepared by a licensed pharmacy, but they are fundamentally different products from a regulatory standpoint

When hepatic lipid export is impaired, triglycerides accumulate in liver cells (hepatic steatosis), which disrupts insulin signaling and shifts metabolism toward fat storage rather than fat oxidation

They reduce caspase-3 mRNA activity and enhance the expression of anti-apoptotic genes, including Bcl-2 and Bcl-xl [45, 46]

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