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and (4) for Xan with TYR, and possibly (trend) with 5-HIAA

The article says most patients report fatigue resolving within three to eight weeks as eating patterns stabilize and the body settles at a new metabolic baseline

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However, patients with significant insulin resistance, Type 2 diabetes, or BMI-related comorbidities may require clinical assessment to determine whether pharmaceutical GLP-1 agonists or other interventions provide safer, more effective metabolic control