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He also dismissed the snapping to be an early stage tendonitis which is a complete bullshit diagnosis considering i havent been using that arm in a strenuous fashion for months

Eslam M, Newsome PN, Sarin SK, et al

In addition to the roles of lactate mentioned above, recent study has revealed that in myelofibrosis (MF), the abnormal accumulation of lactate can remodel the bone marrow microenvironment, driving the fibrotic progression of the disease by inducing an immunosuppressive state and promoting collagen deposition (Spampinato et al., 2025)

I'd skip meals because nothing sounded good

Patients should be counselled that regaining weight after stopping GLP-1 RAs can reverse improvements, potentially requiring medications to be resumed