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Radiographic assessment of her lumbar spine showed mild dextroscoliosis (a sideways curve) and a mild narrowing of L1-L2, L3-L4 and moderately severe narrowing of L5-S1

This is helpful because semaglutide reduces release of glucose from your liver, which can lead to your muscles running out of energy once the circulating glucose is used up

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Practical Application Consistent sleep schedule: Same bedtime/wake time, including weekends 7-9 hours nightly: Inadequate sleep duration increases DPP-4 Sleep quality: Deep, uninterrupted sleep matters more than just duration Light exposure: Bright light morning, dim light evening supports circadian rhythm Eat larger meals earlier in the day when DPP-4 activity is naturally lower Avoid late-night eating when DPP-4 activity peaks Morning protein intake may benefit from lower DPP-4 activity Strategy 6: Managing Inflammation and Metabolic Stress The Science: Chronic low-grade inflammation and metabolic stress significantly upregulate DPP-4 expression