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During this exam, the doctor gently inserts a lubricated, gloved finger into the rectum to assess for any abnormalities, such as lumps or tenderness, which can indicate the presence of internal hemorrhoids

For patients looking for additional support in targeting belly fat and controlling cravings, we offer HCG and Compounded Semaglutide* as add-ons to both programs

Switching from semaglutide to tirzepatide provides receptor novelty through GIP receptor activation while maintaining continuous appetite suppression

Serious adverse events are less common but documented: pancreatitis, gallbladder disease, hypoglycemia (particularly in patients on concomitant diabetes medications), and a boxed warning regarding medullary thyroid carcinoma risk in rodent studies - a finding whose clinical significance in humans at therapeutic doses remains under study