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If standardized peptide formulations can be verified and administered within controlled protocols, these agents may represent a future adjunct to evidence-based perioperative care, particularly in populations undergoing TJA where wound healing, metabolic health, and inflammatory regulation strongly influence outcomes

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As women increasingly delay their first childbearing [7,8,9], there is a warranted need to better understand the mechanisms linking aging with the decline in fecundity and other reproductive challenges