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The prognostic impact of the reactive hyperemia index (RHI) in HFpEF patients suggests that endothelial dysfunction may not be merely a passive finding, but rather that endothelial function plays an active and crucial pathophysiological role in HFpEF [23]

Possible Side Effects and Precautions Common side effects include: Nausea or vomiting (especially in early weeks) Bloating or mild stomach discomfort Fatigue Rare: pancreatitis or gallbladder issues Important: Never start GLP-1 therapy without consulting a doctor

Mood changes, low energy, hot flashes or night sweats, vaginal dryness, low libido, and painful sex can all take a real toll, and you dont have to wait until things feel unbearable to ask for help

This increases the bodys ability to recognize pathogens and strengthens T-cell responses