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Many diabetes complications, such as cardiovascular disease, diabetic nephropathy, ketoacidosis, diabetic foot, acute infection are contraindications to excess exercise 38

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When combined, these peptides create complementary effects: semaglutide creates a caloric deficit and stabilizes blood glucose, while sermorelin supports lean muscle retention and metabolic acceleration

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And so when you have a patient in your office, one, as a primary care frontline doctor, its very important to understand, if you dont set up the patient for success, they will not be successful on bariatric surgery