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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)
The genetic test reveals predispositions in peptide and metabolic pathways, not exact medication responses or thyroid-drug interactions
Obesity is a risk factor
This creates the dreaded "skinny fat" outcome where the scale looks better but body composition deteriorates
Adequate hydration and nutrition are essential, as rapid weight loss and reduced caloric intake may compromise skin health
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