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Autosomal-dominant hypercholesterolemia can also be caused by increased activity of a protease, proprotein convertase subtilisin/kexin type 9 (PCSK9), which promotes degradation of the receptor, and by defects in apo B-100 that reduce its binding to the receptor.] [3] The vesicle containing LDL loses its clathrin coat and fuses with other similar vesicles, forming larger vesicles called endosomes

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Alternatively you can mix the liquid into a drink or with food and consume it.

[PMC free article: PMC3540673] [PubMed: 23316322] 79

Charles Kamen, MD walks through which of these is evidence-supported for your situation including whether an FDA-approved option like semaglutide or tirzepatide fits, or whether a compounded option like sermorelin or BPC-157 is appropriate