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Key mechanisms include: Stimulation of collagen and elastin synthesis in fibroblasts Activation of lysyl oxidase for collagen cross-linking Enhanced production of glycosaminoglycans and decorin Modulation of metalloproteinase activity for controlled matrix breakdown The copper ion serves as an essential cofactor for enzymes involved in collagen synthesis and provides antioxidant protection through superoxide dismutase activation

Some of the side effects of this weight loss drug are higher blood pressure, vomiting, nausea, constipation, dizzy feeling, headache, dry mouth, and increase in heart rate