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When cortisol responsiveness is lowered the outcome is worse fatigue, poor exercise tolerance, increased food and airborne allergies and reduced capacity to adapt to new stressors, major of minor (often seen in PTSD)

On physical exam, the patient had multiple 1-2 cm erythematous, scaly plaques located on the back, chest, and legs, some were excoriated with hemorrhagic crust (Figure 1)

For individuals using tirzepatide injections, the activation of the GLP-1 receptor helps your brain recognize satiety, thus decreasing overall food intake

Consequently, the feeling of satiety is promoted and associated with a decrease of craving and food intake leading to weight loss

GLP-1s can cause muscle loss along with fat loss, and muscle is what keeps your metabolism running efficiently once the drugs appetite-suppressing effect is gone

If constipation becomes severe or persistent, seeking medical advice is the best course of action