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Concluding remarks Dyslipidemia is a common co-morbidity in insulin resistant states, resulting in the overproduction of ApoB-containing chylomicron particles, VLDL particles, and elevated plasma TG levels [100]

Patients should be aware that Zepbound pens are single-use devices designed for once-weekly administration

Therefore, the effects of this study can be attributed primarily to Akkermansias intervention

Laboratory testing may assess electrolyte balance and kidney function, particularly if dehydration is suspected

Future prospective studies are needed to confirm these associations and clarify underlying mechanisms

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