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Retrieved May 25, 2026

The most common side effects are gastrointestinal: nausea, diarrhea, constipation, and reduced appetite

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Step 5: Ongoing follow-up and dose adjustments Ongoing regular follow-up with your healthcare provider is essential to monitor your progress and side effects, and to potentially adjust your dose based on your bodys response

When activated, the IRR initiates several critical cytoprotective cascades: JAK2/STAT3 and STAT5 signalling promoting anti-apoptotic gene expression and cellular survival PI3K/Akt pathway suppressing pro-apoptotic factors and promoting neuronal and endothelial cell survival NF-B modulation reducing pro-inflammatory cytokine production including TNF-, IL-1, and IL-6 MAPK/ERK activation supporting cellular repair and adaptive stress responses Anti-oxidant pathway upregulation reducing oxidative damage in metabolically stressed cells ARA-290s selective activation of the IRR without EPOR homodimer engagement allows researchers to study all of the above pathways without the erythropoietic confound present in full-length EPO studies