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Matrix Metalloproteinase Modulation GHK-Cu potently modulates the activity of matrix metalloproteinases (MMPs), a family of enzymes that degrade extracellular matrix components - while this might seem counterproductive for regeneration, controlled MMP activity is actually essential for proper tissue remodeling, removing damaged matrix to allow replacement with newly synthesized healthy matrix

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Methods Adults with previously untreated, high-risk HER2-positive eBC (T3 or node-positive [N13], including inflammatory disease) were randomized 1:1:1 to: T-DXd-THP: T-DXd 5.4 mg/kg every 3 weeks 4 cycles THP 4 cycles (n=321) ddAC-THP: Doxorubicin + cyclophosphamide every 2 weeks 4 cycles THP 4 cycles (n=320) T-DXd alone: 5.4 mg/kg every 3 weeks 8 cycles (n=286) The primary endpoint was pathologic complete response (pCR