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At basal conditions and after 30, 90, and 180 days, the maximum exercise time was evaluated using an exercise tolerance test performed on an ergometer bicycle, and the left ventricular ejection fraction was tested by echocardiography

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So what we're fact-checking here is the caption itself, which claims Botox "only" causes temporary muscle paralysis without addressing root causes, while GHK-Cu "stimulates skin regeneration, collagen production, and health." Those are specific claims that deserve scrutiny, even if the video's audio didn't deliver them coherently