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Many factors can impact metabolism and weight management, such as: Hormone imbalance Sleep apnea or poor sleep quality Insulin resistance Genetic factors Poor liver detoxification Poor fat absorption Micronutrient deficiency Microbiome imbalance Neurotransmitter imbalance Chronic infection At our medical weight loss clinic in Portland, OR, we take a comprehensive approach to understanding these factors and creating a customized plan for each patient

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In clinical studies, 0.2% of patients taking Zepbound experienced pancreatitis, while 1.1% experienced gallstones and 0.7% had gallbladder inflammation

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