J Endocrinol Invest 41(4):383388 Azziz R, Carmina E, Chen Z, Dunaif A, Laven JSE, Legro RS et al (2016) Polycystic ovary syndrome
The lipid peroxides formed may be chemotactic for the neutrophils causing increased inflammation, which further drives oxidant-mediated injury in the liver
The scenario where adding phentermine makes the strongest case is this: a patient on maximum tirzepatide dosing for at least 6 months, with a documented weight loss plateau lasting 8 or more weeks, who has optimized diet, exercise, sleep, and stress management, and whose provider has ruled out medical causes for the plateau (thyroid dysfunction, medication interactions, fluid retention)
10.1111/j.1432-1033.1993.tb17646.x Summary Keywords L-Tyrosine, primary metabolism, natural products, aromatic amino acid, substrate specificity Citation Schenck CA, Men Y and Maeda HA (2017) Conserved Molecular Mechanism of TyrA Dehydrogenase Substrate Specificity Underlying Alternative Tyrosine Biosynthetic Pathways in Plants and Microbes
She's a great lady