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The maleimide group enters into all cells indiscriminately, which results in weaker cytotoxic effects, due to lacking of specific targeting

Lei et al., 2025 for reviews)

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Pfalzer AC, Choi SW, Tammen SA, et al

Its not known to have any major side effects

The muscle quality (torque) was significantly less in the heart failure patients compared with the control subjects, meaning that for a given area of muscle, the heart failure patients produced less force