Swanson *These statements have not been evaluated by the Food and Drug Administration
Neither approach is universally superior
Patients should be educated about serious adverse effects requiring immediate medical attention, including: Pancreatitis: severe abdominal pain radiating to the back, persistent vomiting Hypersensitivity reactions: rash, difficulty breathing, facial swelling Gallbladder disease: right upper quadrant pain, fever, jaundice Thyroid C-cell tumors (boxed warning): neck mass, dysphagia, hoarseness, persistent dyspnea Regular follow-up with healthcare providers ensures appropriate monitoring and timely intervention if adverse effects occur
In addition, epinephrine influences glucose homeostasis through interaction with 1 -adrenergic receptors in liver and skeletal muscle (see Figure below)
Estrogens regulate the hepatic effects of growth hormone, a hormonal interplay with multiple fates
417 SGM adults experience disparities in other healthrelated factors that elevate the risk of Alzheimer's and other dementias, including higher rates of alcohol and tobacco use, obesity and other cardiovascular risk factors compared with nonSGM older adults
