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This chronic inflammation drives fatigue, joint pain, muscle aches, brain fog, and mood disturbances that go far beyond simple thyroid hormone deficiency

That might help explain why Americans are flocking to online black markets to purchase Eli Lilly's "retatrutide," a drug not yet approved by the Food and Drug Administration that reportedly leads to significant weight loss

At the same time, viral anecdotes about Ozempic erectile dysfunction have fueled anxiety

Acknowledgments We thank Kristin Marie Bivens (Institute of Social and Preventive Medicine ISPM) for her editorial assistance

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