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(Mondal et al., 2018) demonstrated that elevated homocysteine levels can directly modulate lipid metabolism and induce hyperlipidemia in rats through Hcy administration (50 mg/kg/d)

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Patients should understand that expected weight loss varies by medication (approximately 5-10% with liraglutide, 10-15% with semaglutide, and potentially higher with tirzepatide), though responses in post-bariatric patients may differ from those in primary obesity treatment

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It can also reflect iron deficiency, blood sugar instability, hormone shifts, nervous system dysregulation, or chronic stress