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Common contributors include: Declining levels of estrogen , testosterone, or growth hormone Poor or non-restorative sleep Chronic stress and elevated cortisol Metabolic dysfunction or blood sugar dysregulation Cellular energy deficits at the neurological level Because the brain is involved in virtually every system in the body, cognitive symptoms are often a downstream effect of broader imbalances

Where clinically indicated and after eligibility screening: Mounjaro (tirzepatide), Ozempic and Wegovy (semaglutide injectable), and generic semaglutide (post-March 2026 from Sun Pharma, Zydus, Dr

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Removing it from formulary denies patients access to a crucial, approved therapy for this serious comorbidity