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31 In necrotic femoral head tissue, osteoprotegerin (OPG) expression is downregulated, while the expression of receptor activator of nuclear factor-B (RANK) and its ligand RANKL is upregulated, promoting osteoclastogenesis and disrupting bone remodeling
Muscle loss is a documented risk during GLP-1 (Wegovy and Zepbound) use that requires active clinical management, not just weight tracking
Patients can self-inject after training, though at Rivas the injection is typically administered in-office by a provider at each visit
10.1016/S0891-5849(98)00036-7 10 CarozziV
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