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Case Presentation A 71-year-old female with no prior psychiatric history presented with sudden onset of: Severe anxiety Insomnia Cognitive dysfunction Fatigue Severe neck and shoulder pain Abdominal pain New intolerance to previously well-tolerated foods Symptoms began within months of moving into a new office building , suggesting a potential environmental trigger

The decision to start, continue or stop a GLP-1 is highly individual and best made with a multidisciplinary team familiar with GLP-1 and eating disorders

Reauthorization requirements usually include updated lab results showing current HbA1c, documentation that the medication is working (blood sugar improvement), confirmation youre still taking the medication as prescribed, and updated clinical notes from recent appointments

It also supports immune function by protecting white blood cells from oxidative damage

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