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Clinical trials, including the STEP program and a 2021 New England Journal of Medicine study on MASH, have documented reductions in alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels
(When I asked ChatGPT to find compounding pharmacies that provide GLP-1 agonists, it could not produce any.) That means most patients will have to rely on autopen devices, which provide higher doses than typically used in ME/CFS, or vials
Avoid long gaps between meals, choose protein-forward mini meals, and make hydration deliberate (not only when thirsty)
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