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The potential value of combining these therapies lies in addressing overlapping cardiorenal and metabolic risk pathways as available evidence for dual therapy in HF populations remains limited and is derived largely from subgroup analyses, observational studies, and extrapolation from diabetes or obesity trials rather than dedicated HF randomized trials [24, 25, 27, 30, 50]

PolyPeptide rounds out the list as a benchmark for commercial-scale therapeutic peptide production

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however, they can also lead to nutrient depletion