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The sudden or gradual onset of diffuse mucosal pigmentation in adulthood, even in darkerskinned patients, should alert the clinician to contemplate a pathologic genesis
We monitor inflammatory markers along with other labs
Establish baseline measurements
Theres no reason to stop a medication that is otherwise working well. Oral side effects on semaglutide, tirzepatide, and other GLP-1s occur often enough to be worth talking about
Endocrine Practice, 26 (1)
Potential of Sulforaphane as a natural immune system enhancer: a review
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