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Cytokine modulation reducing TNF- and IL-6 may improve insulin receptor sensitivity and ovarian granulosa cell function

By Chris Faubel, MD Indications Lateral Epicondylitis / Tennis Elbow ICD-9 code: 726.32 lateral epicondylitis ICD-10 codes: M77.11 lateral epicondylitis, right elbow M77.12 lateral epicondylitis, left elbow CPT code: 20551 Materials Needed Pen clicking type Gloves non-sterile Alcohol swabs (or iodine) Band-aid Tuberculin needle/syringe OR 1-ml syringe with 25-gauge 1.5 needle (depending on body habitus) Injectate: 0.5-ml of 6mg/ml of Celestone OR 0.5-ml of 40mg/ml Depo-Medrol or Kenalog 0.5-ml of 1% lidocaine Technique / Procedure Steps Always start with informed consent from the patient, and then a time-out to verify correct patient and injection site

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Pregnancy and breastfeeding : not studied

With Ozempic, people usually start seeing weight loss and improved blood sugar control within a few weeks

Clinical studies show that stopping GLP-1 therapy often leads to weight regain (STEP 4 trial on semaglutide withdrawal), so its important to understand the long-term plan