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While research has shown that semaglutide helps to improve hemoglobin A1c levels (a marker for blood sugar control) and stabilize weight in people with type 2 diabetes, the drug has also been associated with certain gastrointestinal side effects

However, individuals with very low body fat may benefit from gently pinching the skin to create a fold of subcutaneous tissue, ensuring the needle reaches fatty tissue rather than muscle

So I wanna, you know, repeat some labs and I wanna understand that if, if there's a very clear hypoglycemia, hyperglycemia, insulin resistance, certainly with a complaint of difficulty losing weight, even if they're not overweight, but they feel like they they are, or they're puffy or they feel like there's some, there's some quite classic things that I see that are really metabolic and, and rooted in Mast Cell Activation Syndrome

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