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Sulphur burpscharacterised by a distinctive rotten egg odourare an unpleasant digestive symptom some patients experience whilst taking Mounjaro (tirzepatide) for type 2 diabetes

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Some patients need slower dose escalation, while others tolerate standard increases

2 Oxidative stress and periodontitis 2.1 Basic concepts of oxidative stress Oxidative stress refers to an imbalance between the production of reactive oxygen types (involving superoxide anions, hydrogen peroxide, etc.) and other oxidants in the cellular and extracellular environment, capable of damaging cell structures and functions ( Under normal conditions, the body regulates and neutralizes these parlous oxidants by antioxidant systems (including superoxide dismutase, glutathione peroxidase, etc.), remaining redox balance within cells (Menzel et al., 2021)