Lab notes
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Both patients presented with early-onset obesity due to hyperphagia linked to impaired melanocortin signaling in the hypothalamus, along with hypercortisolemia and distinctive physical traits like pale skin and red hair due to reduced activation of MC1R in melanocytes ( Pomc predisposes individuals to obesity, with 11 out of 12 heterozygous patients being either overweight or obese ( Pomc in energy balance, as Pomc -deficient mice and zebrafish developed severe obesity, increased food intake, and insulin resistance ( Various factors mediate the epigenetic modifications of Pomc , influencing the phenotypic expression and metabolic outcomes
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If it is unclear which is the major cause of pain, inject the most distal joint first to avoid confusion from a local anaesthetic block of the surrounding cutaneous nerves
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