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Nishimura and colleagues showed that loss of ATM in melanoblast stem cells within the hair follicle bulge region in mice could sensitize the stem cells to genotoxic stress, leading to early differentiation, depletion from the niche and progressive hair greying over subsequent cell cycles due to eventual depletion of mature melanocytes from the hair bulb 3,10
Multiple published studies have investigated this claim and the results are disappointing: systemic glutathione is not sufficiently effective as a skin-whitening agent , with only limited and temporary changes observed in specific body areas
Companies that successfully address muscle preservation, reduce discontinuation-related regain, improve access and tolerability, or develop precision approaches for treatment-resistant patients will capture meaningful differentiation in what promises to become an increasingly commoditized market for first-generation GLP-1 agonists
Physician supervision ensures optimal timing and safe escalation
