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doi: 10.1067/mjd.2003.100 [DOI] [PubMed] [Google Scholar] 112.Telek A, Br T, Bod E, et al
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The potential of endurance exercise-derived exosomes to treat metabolic diseases

When to Reassess If injection-site reactions worsen instead of improving over the first week, if fatigue persists past the loading phase, or if any unusual symptom appears, pause the protocol and consult a qualified clinician

If the patient is getting worse then toxicity is a concern
