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Glucagon-like peptide-1 (GLP-1) receptor agonists are a class of medications originally developed for managing type 2 diabetes

High-dose NAC (1,200 mg/day) showed superior outcomes, improving lung volumes [Forced Vital Capacity (FVC), Residual Volume/ Total Lung Capacity (RV/TLC), Inspiratory Capacity (IC)] and exercise tolerance(30)

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Cepharanthine would target and inhibit T cell activation, addressing the underlying autoimmune response, while selenium would function to lower TPOAb levels and provide antioxidant support