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Tier 3 (BMI 35-39.9 with comorbidities or BMI 40+): Aggressive pharmacotherapy with GLP-1 agonists or dual agonists, potentially combined with very low-calorie dietary interventions and consideration of bariatric surgery referral if medical management is insufficient
Each batch undergoes heavy metal and endotoxin screening to ensure it is free from hidden contaminants
MASH: the nexus of metabolism, inflammation, and fibrosis
First my freckles got dark and then they connected
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