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Non-pharmacological approaches should not be overlooked: Physical therapies: physiotherapy, exercise programmes, and manual therapy for musculoskeletal conditions Heat or cold therapy: appropriate application can reduce pain and inflammation Weight management: the weight loss achieved through Wegovy may itself reduce pain from weight-bearing joints TENS (transcutaneous electrical nerve stimulation): may benefit certain chronic pain conditions Alternative oral analgesics may be considered for specific situations: Codeine-based preparations: for short-term use in moderate pain, though constipation risk may compound Wegovy's gastrointestinal effects Nefopam: a prescription-only, non-opioid, non-NSAID analgesic for moderate pain with notable side effects

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In contrast, the majority of lactate anions are released into the circulation or immediately metabolized as an energy substrate through aerobic metabolism [19-21]

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