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sometimes, patients are treated initially with hydroxyurea, which may also cause mucocutaneous hyperpigmentation and melanonychia [36,37,38,39]

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Bedrosian cautions anyone considering medications like Ozempic to review

This is where appetite suppression typically becomes noticeable for most people

In certain cases, a provider may also consider compounded GLP-1 medications (e.g., compounded semaglutide) or compounded GLP-1/GIP medications (e.g., compounded tirzepatide) as part of a personalized care plan

This provides a steady supply of nutrients over several weeks or months