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"You can get past the dead end. You can break through the ceiling. I did and so have countless others."

The Elite NURSE Practitioner

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Bicep Curl Weights Strength Gym  - 9to5strength / Pixabay

Clinical Pearl Wednesday #96

L-carnitine can upregulate androgen receptors (link – L-Carnitine )  Do you have any patients on TRT that are focused on their physical health?  Are these clients telling you that they feel great…their libido is

Pumpkin Halloween Nausea Bad  - hhach / Pixabay

Clinical Pearl Wednesday #95

Do you have a patient with ongoing nausea and vomiting? Have you tried the common medications like Zofran or Phenergan? Don’t forget about Reglan! Metoclopramide, or Reglan, is often a forgotten medication

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