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Among patients with established heart failure with preserved ejection fraction, those with the obesity phenotype have distinct clinical and hemodynamic features, including expanded plasma and stressed blood volume, reduced venous capacitance, elevations in exercise pulmonary wedge pressures, adverse hemodynamic response to diuresis, higher inflammatory markers, and more pronounced hypertension, as well as more severe symptoms and exercise intolerance." - NEJM Is the weight loss or #semaglutide or both
If more than five days have passed, skip that dose and resume the regular schedule with the next injection
The Foundation Comes First: When Peptides Might Be Appropriate Before I would even entertain a conversation about peptides with a perimenopausal patient, we must have addressed the fundamentals
Thats the shift from managing disease to restoring health
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