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Furthermore, ALA can protect against DR by inhibiting various factors and alleviating oxidative stress

10.1038/mp.2016.196 16 CascellaM.BimonteS.MuzioM

But not a complete contraindication to intramuscular injections

In mouse models of DMD, it has been found that IGF1-LR3 and other IGF-1 derivatives are capable of counteracting the negative effects of myostatin to protect muscle cells and prevent apoptosis