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Patients who have normal intestinal absorption may be treated with an oral therapeutic multivitamin preparation, containing 15 mcg vitamin B12 daily

New generation platelet therapies like PRF (platelet rich fibrin) are also now available

Blood ketone testing Urine ketone strips are inaccurate for anyone beyond the first week of keto

Unopened Bacteriostatic Water When sealed and stored properly, unopened bacteriostatic water typically has a shelf life of 2 to 3 years from the manufacturing date

When GLP-1 is Appropriate Your thyroid levels are stable You are on a consistent levothyroxine routine You struggle with weight loss despite diet and exercise You have Hashimotos or primary hypothyroidism and want better metabolic control When GLP-1 is Not Recommended You have MTC You have MEN2 You have uncontrolled hypothyroidism (TSH extremely high) Key Monitoring Guidelines When I start a hypothyroid patient on GLP-1, I monitor: TSH every 68 weeks T3 and T4, depending on symptoms Heart rate Energy levels GI symptoms Appetite changes How GLP-1 Medications Work I always describe GLP-1 medications in a way patients can visualize: 1