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Current laboratory investigations further evaluate intracellular signaling involving TGF- , MAPK/ERK , PI3K/Akt , NF-B , matrix metalloproteinases (MMPs) , tissue inhibitors of metalloproteinases (TIMPs) , copper-dependent enzymes, and additional molecular systems associated with extracellular matrix regulation and peptide signaling

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If a severe deficiency is found, a loading dose phase may be recommended, consisting of weekly injections for the first month