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Oxidation Dissolved oxygen in the reconstitution water can oxidize sensitive amino acid residues in the tirzepatide chain, particularly methionine and cysteine residues if present

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Oligodendrocytes appear to be particularly vulnerable to reactive oxygen species (ROS) and cytokines, such as tumor necrosis factor- (TNF), which induce cell death and prevent the differentiation of oligodendrocyte progenitor cells (OPCs)

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