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Production method: Fermentation

Think of it like filling a bucket: its easier to keep it full if you plug the holes at the bottom

doi: 10.1091/mbc.11.5.1859, 24

Its effects cascade through growth hormone and subsequently IGF-1 pathways to influence fat metabolism, protein synthesis, and tissue repair

Overdosing may lead to potential side effects such as nausea, diarrhea, and skin rashes

Secondary NS arises as a consequence of other systemic pathologies (e.g., infections, neoplasms, systemic lupus erythematosus, diabetes) or the improper use of nephrotoxic substances (e.g., medications) ( If a patient is unresponsive to steroid treatment, the current guidelines recommend escalating therapy by combining immunosuppressive drugs such as calcineurin inhibitors (Cyclosporin, Tacrolimus), mycophenolate mofetil, anti-CD20 monoclonal antibodies (Rituximab, Ofatumumab), and CTLA- 4 (Abatacept, Belatacept)