The presence of Stemmers sign (inability to pinch the skin on the dorsum of the toes) strongly suggests lymphedema but is absent in pure lipedema
Interestingly, pre- and/or probiotic supplementation during POS ameliorates the ES-induced deficits in cognition, however, supplementation after POS required supplementation with both pre- and probiotics, as a synbiotic
Due to the activation of the sympathetic system and additional synthesis of growth hormone, the survival rate of neurons increases, improving memory (potentially treating dementia), concentration, and optimizing mood (states of anxiety, depression, or bipolar disorder)
He takes the time to listen, discuss, and help you on your journey to health during your visit as well as has great communication when needed between visits
SURMOUNT-1 Trial: Tirzepatide for Weight Reduction in Obesity - Primary clinical trial data on tirzepatide efficacy and adverse events