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This decline correlates with reduced collagen synthesis, slower wound healing, and decreased tissue repair capacity

Oral GLP-1 medications may be a reasonable option for: Patients early in their weight loss journey Patients with mild to moderate weight loss goals Patients who strongly prefer to avoid injections They may be less ideal for: Patients who have had bariatric surgery Patients needing significant weight loss Patients who have not responded to oral medications in the past The decision is not just about preference

Visual inspection is important but not definitive

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