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191 In the context of the ACL, fibroblaststhe primary cells in the ligamentrespond to mechanical loading by altering their production of extracellular matrix components, such as collagen

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Both remain in phase 3 clinical development programs [16]: Cagrilintide Status: Phase 3 trials ongoing for CagriSema (cagrilintide + semaglutide combination) Expected approval timeline: 2027-2028 for the combination product Monotherapy development pathway unclear Retatrutide Status: Phase 3 trials initiated in 2024-2025 Monotherapy development for obesity and metabolic dysfunction Expected approval timeline: 2028-2029 if trials succeed This regulatory status means any use of these compounds, whether individually or in cagrilintide dosage with retatrutide combinations, occurs in research contexts or through off-label prescribing once (if) individual approvals are obtained

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Thompson PM, Vidal C, Giedd JN, Gochman P, Blumenthal J, Nicolson R et al (2001)