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The initial medical visit should include the following: complete medical history and physical, diet history (including eating habits, sleep, environmental factors, stressors, and exercise), vitals including weight and BMI, Laboratory (fasting glucose, lipid profile, thyroid profile, comprehensive metabolic, CBC, and UA), and an EKG

SOD is known as a key antioxidant enzyme with functions of clearing free radicals and reducing oxidative stress

Why Dual-Pathway Activation Works for Resistant Cases When semaglutide alone doesn't produce results, the issue often lies in incomplete pathway coverage

The GIP receptor activation adds a second pathway for insulin secretion, glucagon suppression, and potentially adipocyte metabolism that semaglutide doesn't touch

Yulith Roca Alvarez and Mehmet Yildiz from The Christ Hospital

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