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A baseline liver panel (AST, ALT, bilirubin) before starting berberine and a repeat at 12 weeks is appropriate, particularly because retatrutide's long-term hepatic safety profile in humans is not yet fully characterized [13]

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Another significant component is the mast cell degranulation peptide (MCD), also known as peptide 401, which accounts for about 2% to 3% of BVs weight (56)