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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The resulting inflammation creates a painful cycle where swelling leads to more impingement which causes more swelling
Tissue repair depends on diagnosis, blood flow, inflammation, sleep, protein intake, micronutrients, load management, rehabilitation, hormones, metabolic health, medications, and time
This targeted approach attempts to minimize damaging signaling while preserving other host defenses