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A GP can also refer patients to specialist NHS weight management services or an endocrinologist for assessment of growth hormone deficiency
Professors Marshall-Gradisnik and Staines from Australia have published a potential mechanism of action for LDN in ME/CFS involving a calcium (Ca 2+ ) ion channel called TRPM3 and opioid receptor interaction in natural killer cells
Examples include semaglutide (Ozempic, Wegovy) and tirzepatide (Zepbound, Mounjaro)
The practical takeaway: The direction is changing, but the change is not yet complete
