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Safety In l-ARG and placebo groups, no significant changes were detected from T0 to T1, regarding clinical and biochemical parameters, except for HDL cholesterol levels, which were significantly increased in l-ARG group ( p = 0.001) and decreased in placebo group ( p = 0.0001)

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This action protects alveolar epithelial cells against inflammation, injury, and apoptosis via the repression of prolyl hydroxylase 2/HIF-1/MAPK signaling, suggesting its potential in treating COPD and pulmonary fibrosis (Guan et al., 2020)