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Rafailidis, P
At Gutwell, every GLP-1 treatment plan begins with: A complete medical history review, including family history of thyroid or endocrine cancers
Liver health: Can the glucagon component reverse NASH/MASLD
Still, with fusion, you get more of the risk of adjacent segment disease, higher complications, and more risk in general (4)
Current research doesn't provide clear superiority for either approach, and individual preference and logistical convenience should guide timing decisions
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