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The equipment was meticulously sanitized by hand using an odorless 50% ethanol solution

Injectable GLP-1 medications generally have no direct interaction with levothyroxine, though delayed gastric emptying may affect absorption timing

Common early effects include mild nausea, constipation, reduced appetite, and fatigue during titration weeks, typically resolving within 12 weeks

J Neurol Neurosurg Psychiatry 96: 870883

The monounsaturated fatty acid oleic acid in olive oil also stimulates production of oleoylethanolamide (OEA), a gut-derived lipid messenger that enhances satiety

it impairs SM microcirculation, lipid oxidation, mitochondrial activity, and glucose metabolism, which might aggravate metabolic dysfunction and IR