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Acknowledgments We thank the UK Biobank study, and the summary statistics data of UKB can be download from Neale lab ( and other GWAS summary-level data, which have been downloaded from We also thank all the reviewers and editors for their useful suggestions for improving this study

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Side Effects & Safety Contraindications Active cancer or pre-cancerous conditions (p53-modulating agents require extreme caution) Impaired wound healing or active wounds (senescent cells play roles in wound repair) Pregnancy or breastfeeding (no safety data) Immune-compromised individuals (unknown effects on immune senescence) p53 mutations or Li-Fraumeni syndrome (mechanism requires functional p53) Interactions Chemotherapy agents (may enhance clearance of treatment-induced senescent cells but could also affect treatment efficacy) Other senolytic compounds such as dasatinib + quercetin (potential additive effects caution warranted) Immunosuppressive drugs (may alter the immune response to cleared senescent cells) Reconstitution & Storage Related Peptides FOXO4-DRI addresses aging at the cellular senescence level, complementing other longevity-targeted peptides that work through different mechanisms