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Although lumbar puncture is not mandatory in all cases, CSF analysis may show elevated gamma-aminobutyric acid levels (71) and oligoclonal bands (41)

Tirzepatide's dual action on GIP and GLP-1 receptors often produces more pronounced results, while GoodRx confirms that these prescription-only drugs come with solid clinical data showing they are safe and effective when used as directed

Where appropriate, referral to a specialist Tier 3 weight-management service may also be considered

Liang, Y., et al

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