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Quick Answer: Zepbound may cause insomnia due to delayed gastric emptying causing nighttime reflux, metabolic shifts that increase heart rate, or blood sugar fluctuations that trigger alertness-inducing hormones like cortisol

Etiology Arise from iatrogenic implantation of amalgam particles or amalgam dust during the placement, polishing, or removal of amalgam fillings or apicoectomies

Common sites include the abdomen, outer thigh, and lower back flank

First, last years events came at the end of what we were calling a rolling recession at the time and effectively marked the end of that downturn