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While commercial products like glycopyrronium wipes are FDA-approved, they are expensive and often limited to single-use formats

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It is commonly found in both cosmetic and food products

Excessive deposition of extracellular matrix (ECM) and lung tissue remodelling is a central characteristic of fibrotic disorders and the ECM has been attributed a key role in the progressive nature of IPF 23

Despite the coherence of the early worsening hypothesis, the narrative is further complicated by a large body of real-world evidence that does not reflect the risk signals seen in certain trials

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