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Treatment significantly reduced levels of pro-inflammatory cytokines including interleukin-1 (IL-1) and tumor necrosis factor- (TNF-) while increasing anti-inflammatory interleukin-10 (IL-10) expression

Instead of jumping straight to GLP-1 medicationswhich he chose to avoid due to concerns about acid reflux and vocal healthhe worked with clinicians to lower insulin gradually through close monitoring, lifestyle changes, and a low dose of metformin

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If you are a candidate, MOBO providers will prescribe weight loss medication