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By enhancing these neurotransmitters, tesofensine may: Reduce hunger signals Increase energy expenditure Support weight loss efforts However, these same pathways can affect heart rate, sleep patterns, and mood, which explains many of the potential side effects

Anemic patients may feel a crawling or itchy sensation in the feet and legs, which can worsen at night

As a result, these agents may influence sympathetic and parasympathetic tone

For Ozempic: Unopened pens must be stored in the refrigerator at 36F to 46F (2C to 8C)

Our qualified healthcare providers (NPs, PAs, MDs) begin with a deep dive into your unique physiology