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For a rotator cuff tendon sitting in a relatively avascular zone, maintaining whatever blood supply exists while building new vessels is critical

Staying upright after meals and spacing fluids away from eating can also reduce discomfort

Bartalena L, Kahaly GJ, Baldeschi L, Dayan CM, Eckstein A, Marcocci C et al (2021) The 2021 European Group on Graves orbitopathy (EUGOGO) clinical practice guidelines for the medical management of Graves orbitopathy

If you prefer brand-name Mounjaro, Wegovy, or Zepbound, we can prescribe those as well

Choose lighter options: darker spirits concern congeners (chemical by-products formed during fermentation and distillation)