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Peripheral serotonin in hypothyroidism and CFS has previously received little attention, and S-5-HT measurements have been used mainly in the carcinoid tumors/syndrome

If side effects or cost are forcing poor adherence, talk to your provider about stepping strategies that preserve benefit while lowering expense, such as trialing lower doses, switching to an alternate GLP1 with better coverage for your diagnosis, or trying other approved therapies first

"These patients often present with flattened cheeks, deep nasolabial folds, marionette lines, jowling and laxity in the lower face," she explains, noting that a proactive approach helps patients maintain facial harmony throughout their weight-loss journey rather than waiting until significant deflation occurs

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On exam, she was a well appearing female with red hair and Fitzpatrick type I skin