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Additionally, the binding of outer membrane proteins BabA and SabA to host cell surface receptors may affect the cytoskeleton and function, disrupting the creation of the acidic environment necessary for the fusion of phagosomes and lysosomes ( Calcium ions, key regulators of cell signal transduction, are involved in lysosomal fusion and the formation of phagocytic vesicles (Pradhan et al., 2019)

Compounded tirzepatide introduces more variability, as the quality depends on the compounding pharmacy