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It can also reflect iron deficiency, blood sugar instability, hormone shifts, nervous system dysregulation, or chronic stress

(Mondal et al., 2018) demonstrated that elevated homocysteine levels can directly modulate lipid metabolism and induce hyperlipidemia in rats through Hcy administration (50 mg/kg/d)

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Patients should understand that expected weight loss varies by medication (approximately 5-10% with liraglutide, 10-15% with semaglutide, and potentially higher with tirzepatide), though responses in post-bariatric patients may differ from those in primary obesity treatment