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Adaptations needed include keeping fats moderate (30 to 35% of calories) rather than high (60%+ typical in keto), choosing lean proteins rather than fatty cuts, getting fat from sources like avocado and nuts rather than butter and cream, and focusing on non-starchy vegetables for volume

We saw that many of our patients with PT had a diverticulum or were missing bone over the sigmoid sinus, which is just downstream from the transverse sinuses. Because CT scans have shown that this sigmoid sinus dehiscence can cause PT, we started doing operations to reconstruct the sigmoid sinus or reduce the diverticulum

a replacement prescription costs far less than managing treatment failure or adverse outcomes

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Corticosteroids may reduce Wegovy's weight loss efficacy by increasing appetite, causing fluid retention, and promoting insulin resistance, though Wegovy's appetite-suppressing effects may help mitigate steroid-induced hunger