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Type 2 diabetes is characterised by insulin resistance and progressive beta-cell dysfunction, leading to elevated blood glucose levels

PPIs are block-buster drugs that make the pharmaceutical companies billions of dollars annually

The Precision Peptide Genetic Test reveals predispositions in GLP-1R, GIPR, FTO, and MC4R pathways that may correlate with responsiveness, but genetics alone do not predict outcome

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doi:10.1111/j.1365-2044.2006.04808.x (Letter highlighting the risk of serotonin syndrome with concurrent SSRI and methylene blue, underpinning contraindications and necessary precautions regarding MAO-A inhibition)

These symptoms can lead to fluid loss, and dehydration is well known to cause fatigue