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A torn labrum likely occurs as a result of a separate injury or a degenerative joint disease such as arthritis
NICE guideline NG28 for type 2 diabetes recommends GLP-1 therapy for patients with inadequate glycaemic control despite optimal management with other glucose-lowering medications, and particularly for those who would benefit from weight loss
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Where it works: Liver: Increases hepatic glucose production and fat oxidation (when carbs are low) Adipose tissue: Stimulates lipolysis (breakdown of stored fat into free fatty acids) Brown adipose tissue: Activates thermogenesis (heat production from burning fat) Muscle: May increase fat oxidation during exercise Weight loss contribution: The glucagon component appears to add an additional 2-3% weight loss beyond the GLP-1/GIP combination (24% vs 22% for tirzepatide)
Most compounding pharmacies specify a window of up to 14 days at room temperature for vials, though this varies by formulation and you should follow the specific guidance provided with your medication rather than a general rule
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