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A range of treatments may be tried before a patient achieves remission

Over time, corticosteroids can degrade cartilage, weaken tendons and ligaments, and suppress the bodys natural healing response, potentially worsening the underlying condition

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It is knowing which patient needs a GLP-1 and which one needs a workup, how to titrate through the nausea window without losing the patient, how to protect lean mass during rapid loss, how to screen for the contraindications that matter, and how to tell a patient honestly what an adjunct will and will not do for them