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Patients with Graves ophthalmopathy may also be vulnerable to electrolyte shifts and micronutrient deficiencies (e.g., selenium, magnesium) during the early ketogenic transition

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Phentermine, an FDA-approved appetite suppressant since 1959, works through central nervous system stimulation, while tirzepatide (Zepbound, Mounjaro), approved in 2023 for obesity, operates through dual GIP/GLP-1 receptor pathways

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