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A once-a-week injectable (available as a pen or a vial) tirzepatide medication for weight loss and obstructive sleep apnea
References: [1] Spooner LM, Olin JL
The dual mechanismboth peripheral (stomach) and central (brain)helps explain why nausea is such a prevalent side effect of GLP-1-based therapies like Zepbound
The increased level of inflammatory cytokines is perhaps a result of dysbiosis of the gut microbiota, which may further weaken the integrity of the gut barrier
The good news with this type of pigment loss is that it's usually not permanent, but it may take a long time to re-pigment
However, symptoms may persist in a significant number of individuals, she says, even right after taking the first dose
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