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If GI side effects are manageable, add cagrilintide at 0.25 mg weekly starting in week 5, while simultaneously increasing retatrutide to 2 mg as per its standard titration

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Furthermore, the well documented efficacy of combined folic acid, B6, and B12-vitamin supplementation to reduce hyperhomocysteinemia could enhance GSH activity and reduce oxidative stress (161)

Weeks 4-8: Continued healing and tissue remodeling for moderate to severe injuries

Hand therapy or home therapy for range of motion and strength is initiated and length of recovery depends upon the surgical procedure undertaken