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Elliott Lewis, a psychiatrist and obesity medicine specialist, frames it this way: If we truly understand that metabolic and mental health systems are inseparable, then psychiatrists being involved in metabolic treatment makes complete sense. Youre not stepping outside your lane youre addressing the whole patient

Anti-inflammatory mechanisms may play a role here, as chronic inflammation contributes to glomerular injury and tubulointerstitial fibrosis

This effect is well-documented in safety reviews of tirzepatide and similar GLP-1 therapies

93 The one that dominates among them is chemical synthesis

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