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Tirzepatide, marketed as Mounjaro in the UK, is licensed for type 2 diabetes mellitus and chronic weight management

Acknowledgments The authors would like to acknowledge Emma Fletcher, Harry Cintineo, Dillon Harris, and Justin Shahtout for their contributions

With metabolic stress, leukocyteendothelial interactions become more adhesive and pro-inflammatory, contributing to endothelial dysfunction, vascular stiffness, and atherosclerotic progression

Having worked with hundreds of methane SIBO cases, including her own, Bella is passionate about helping her clients address this imbalance and take back control of their digestive symptoms.