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This is what allows patients to lose weight

When to Order ALP Isoenzymes ALP but GGT normal to differentiate bone vs liver source Isolated ALP elevation with normal AST, ALT, and bilirubin to rule out occult hepatic or bone disease Mixed pattern (e.g., metabolic syndrome, postmenopausal bone turnover) to quantify contributions Pregnancy or malignancy with very high ALP to identify placental or tumor isoenzyme When Not to Order Both ALP and GGT elevated hepatic source already confirmed Transient or mild ALP rise ( 40 years helps assess hidden coronary artery disease (after discussion with your doctor) Heart & Circulation 1) ECG 2) 2D Echo / TMT: Check with your dr or cardiologist Eye & Dental Health (Some uncontrolled T2d may have these at the time of diagnosis also) 1) Ophthalmology check-up (retinopathy screening) 2) Dental check-up (gum disease worsens diabetes and vice versa) Why go beyond the basics

But even major corporations are making patients go through hurdles before they can access these drugs

Squeers, told young Nicholas Nickelby

Is believed to be the main cause

It is a silent disease and people often do not have symptoms until the disease has progressed to an advanced stage