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References Scully T, Ettela A, LeRoith D, Gallagher EJ

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Thus, elevated PAI-1 is a risk factor for thrombosis and atherosclerosis.101 Accordingly, PAI-1 levels were increased in patients with HFpEF in comparison with healthy controls, as were D-dimer and tissue plasminogen activator levels, suggesting that HFpEF is associated with a procoagulant state.101 The tissue plasminogen activator/PAI-1 complex was an independent predictor of mortality from all causes and from cardiovascular causes in patients with HFpEF from the LURIC study ( Table 2 ).102 Nevertheless, in a large study that included four longitudinal community-based cohorts, only NPs and the urinary albumin-to-creatinine ratio were associated with HFpEF,103 while PAI-1 showed only a suggestive association.104 Senescence Insulin-like Growth Factor-binding Protein 7 The major function of insulin-like growth factor-binding protein (IGFBP) 7 is to regulate the availability of insulin-like growth factors

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However, the daily requirement of handling syringes, reconstituting lyophilized powders with bacteriostatic water, and managing injection site reactions poses a significant barrier to entry

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