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In recalcitrant cases, patients should carry a self-injectable epinephrine device (i.e., EpiPen, Auvi-Q, Adrenaclick) or Neffy, an epinephrine containing nasal spray, as a precaution
Many integrative clinicians are now using NeuroQuant to identify Chronic Inflammatory Response Syndrome (CIRS), otherwise known as biotoxin illness or mold illness. There is increasing evidence pointing to associations between CIRS and myriad cognitive and neurologic abnormalities
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When evaluating providers, ask whether they offer both semaglutide and tirzepatide, what their protocol is for switching between medications, and whether their clinical team has experience managing patients on multiple GLP-1 platforms
