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The present study demonstrated that CP treatment develops HC with associated histopathological changes, CNP upregulation, increased hepatic pro-inflammatory cytokines and oxidative stress, and Augmented protein levels of NF-B, and MAPKs

1 illustrates the study selection process

Officially, the FDA cites: Insufficient large-scale clinical trials Concerns about consistency, sourcing, and manufacturing standards The need to meet formal drug approval requirements Critics argue (fairly) that this system: Favors large pharmaceutical companies Makes it hard to approve naturally occurring peptides Leaves promising, low-risk compounds in regulatory limbo The short version: This FDA restrictive regulatory change of mind wasnt driven by a sudden safety scare, it was driven by regulatory process and economics

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