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Many guidelines recommend referral to both an obesity medicine specialist and an eating disorders specialist when there is a history of eating disorder and GLP-1 therapy is being considered
Factors such as alcohol-mediated induction of CYP2E1, ALDH2 deficiency, and impaired liver function can further elevate acetaldehyde levels and reduce its clearance
When fat stores are large, leptin levels are high
Always follow up with SPF to avoid sensitivity
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