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score 3: more than 50% irregular vascularization: increased number of capillaries, groups of thick-walled blood vessels irregularly arranged in the hypercellular tendon, and a nodular proliferation of blood vessels that can also be vertically directed in relation to their counterpart fibers

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However, GLP-1 RA therapy has gastrointestinal side effects, including nausea, increases the risk of undernutrition, and can decrease lean body mass

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