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However, we also know weight loss is extremely helpful in HS, There has to be a balance and an awareness of the potential of improvement of HS due to weight loss and yet increase in acne secondary to the medication and hormonal changes. This does not mean that taking patients off GLP-1 receptor agonists is the answer, but it does mean that dermatologists must be aware of this growing drug class that may bring patients, particularly adult women, into their offices for acne vulgaris

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We allow for anticipated increases in uptake are allowed as new medications are approved, costs are reduced, and better side-effect profiles are realized

This is not full keto, but it starts the metabolic transition

Metabolic inflexibility: when mitochondrial indecision leads to metabolic gridlock