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It can reduce cravings for people

Other potential complications of ankylosing spondylitis include: Aortitis Aortic valve disease Disturbances in the hearts electrical impulses Weakened heart muscles Reduced blood flow to the heart Fibrosis, or scarring, of the upper lobes of the lungs Breathing impairment due to chest wall restriction Sleep apnea Spontaneous pneumothorax (collapsed lung) Uveitis How Ankylosing Spondylitis Causes Aortic Regurgitation Some people with ankylosing spondylitis develop chronic inflammation at the base of the heart, around the aortic valve, and at the origin of the aorta, the main artery that carries blood away from the heart

It is a historical artefact, not an established dose

You likely qualify for GLP-1 medications

Thats where attention needs to shift