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So I wanna, you know, repeat some labs and I wanna understand that if, if there's a very clear hypoglycemia, hyperglycemia, insulin resistance, certainly with a complaint of difficulty losing weight, even if they're not overweight, but they feel like they they are, or they're puffy or they feel like there's some, there's some quite classic things that I see that are really metabolic and, and rooted in Mast Cell Activation Syndrome

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This finding is particularly important given the obesity population's inherent cardiovascular risk

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Increasing beyond 300 mcg adds side effects without proportional sleep improvement