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Initial serology showed positive Treponema pallidum particle agglutination (TPPA) with a low titer (1:2) on the toluidine red unheated serum test (TRUST)
This creates the dreaded "skinny fat" outcome where the scale looks better but body composition deteriorates
Because the system around GLP-1 treatment wasn't built for anyone without deep pockets or a specialist down the street
If problems persist, something else may be involved
The genetic test reveals predispositions in peptide and metabolic pathways, not exact medication responses or thyroid-drug interactions
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