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Symptoms such as ongoing fatigue, weight gain despite treatment, or cold intolerance may indicate suboptimal thyroid hormone replacement, which should be addressed before starting weight management therapy

Starting soon, our office will be offering Vitamin B12 injections

Women prescribed GLP-1s also saw improvement in metabolic parameters and a slight reduction in total testosterone compared with those who did not use a GLP-1

SEM (left), TEM (middle) and selected-area electron diffraction (SAED

Prune juice and magnesium supplements (200400 mg daily) offer natural alternatives, though always consult your provider before adding supplements, especially if you have kidney concerns