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She also had overweight and severe acanthosis nigricans

There are actually only a few instances where steroids (e.g., methyl-prednisolone, triamcinolone, dexamethasone, or "cortisone shots") should be used (e.g., for certain types of inflammatory processes but rarely for chronic injuries or pain) (1) (2) (3) (4) (5) (6) (7) (8)

Medication is not a cure on its own

May your B12 levels stay robust, your GLP-1 therapy stay effective, and your protocols stay evidence-based.

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Specifically, heterogeneity refers to the different laboratory methods used, but above all to the structure of the peptide molecule