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One clinically relevant consideration is that sertraline is associated with hyponatraemia (low sodium levels), which could potentially be exacerbated if a patient experiences significant dehydration from Saxenda-related gastrointestinal side effects
Mikki may recommend combining it with hormone replacement therapy for comprehensive hormonal optimization, NAD+ therapy for cellular energy and longevity, MOTS-C for metabolic support, aesthetic treatments to complement internal wellness with external rejuvenation, and medical weight management if body composition is a primary goal
Familiarity (60+ years of clinical use), cost (extremely cheap), and speed (works within days vs
Glucose dehydrogenase, glucose-6-phosphate dehydrogenase and hexokinase in liver of rainbow trout (Salmo gairdneri)
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