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Plan Refinement Increase BP medication dose for better control Bupropion-naltrexone after sleep study: Bupropion : supports mood and energy (dopamine/norepinephrine) Naltrexone : modulates reward pathways, reduces cravings Stress management : three-minute guided meditation via phone app in car after commute, twice weekly NEAT : stairs at work, hourly movement breaks build activity without gym requirement Continue dietitian and sleep study Integrative Chiropractic Care for George Chronic stress manifests physically: muscle tension, spinal subluxations, pain, and autonomic imbalance

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Megaintestine in claudin-15deficient mice