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29 Moreover, in cases of widespread cutaneous SSc, soluble DPP4 levels were lower than in localized cutaneous SSc, suggesting a correlation between DPP4 activity and fibrosis progression in SSc

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While the synergistic combination of CoQ10 and L-carnitine fumarate offers a scientifically grounded, highly targeted approach to supporting cellular energy and cardiovascular health, it is essential to remember that supplements are just one piece of a much larger, highly complex puzzle