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Untreated obesity increases the risk of cardiovascular disease, type 2 diabetes, obstructive sleep apnea, metabolic-associated steatotic liver disease (fatty liver), chronic kidney disease, multiple cancers (endometrial, esophageal, liver, kidney, breast), osteoarthritis, and dementia

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The alcohol prep, the needle insertion, and the fluid volume all contribute to local irritation

There, it binds to receptors on the surface of muscle cells

Mechanism of Action: an isotopic deuterated isomer of tetrabenazine, where two O-linked methyl groups (O-CH 3 ) of the tetrabenazine molecule have been replaced by 2 trideuteromethyl groups (O-CD 3 )