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Sometimes we need to also improve GI transit at the smooth muscle level (by utilizing the serotonin precursor 5-HTP for example.) As mentioned, hormones need to be normalized as well

This same analysis also found that exercise consistently improved glucose and insulin levels, which are often elevated in people with an unhealthy lipid profile

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Women who also experience menstrual changes on tirzepatide may be at even higher risk because the hormonal shifts are more pronounced

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