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Plasma glucose was significantly lower at 52 weeks compared with screening and baseline for the GLP-1RA group, P 0.05

The microenvironment of the injured spinal cord is characterized by mitochondrial metabolic imbalances, leading to the excessive production of free radicals and the consequent peroxidation of cell membrane lipids, which results in spinal cord nerve cell damage and even death [3,4,5]

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