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The primary considerations include the indication for use, dosing stability, side effect profile, and overall disease management status rather than the pharmacological properties of tirzepatide alone

They cannot bind to receptors properly, cannot be absorbed efficiently, and in some cases can provoke unwanted immune responses

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Differential Diagnosis Considered etiologies included: Primary psychiatric disorder Neuroinflammatory or neurodegenerative disease Endocrine dysfunction Chronic infection (Lyme disease, EBV) Chronic inflammatory response syndrome (CIRS) Environmental toxin exposure (including mycotoxins) The acute onset, lack of psychiatric history, and environmental correlation made a primary psychiatric etiology less likely