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Under hypoxia, CHCHD2 activates the transcription of itself and COX4I2 , which encodes cIV subunit-4 isoform 2 (COX IV-2) ( CHCHD2 show reduced cIV activity in addition to cI deficiency (Lee et al., 2018)
Community guidance for those on metformin or berberine suggests a lower MOTS-c dose with closer glucose monitoring in the first weeks consult a clinician
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