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A thorough medical screening is absolutely essential to flag any potential risks ahead of time

My TSH and T4 have never been that far out of range but with the proper testing I found Hashimotos, which explained my constant fatigue and irregular periods (they can be anywhere from 14 days to 50+ and last 2-3 days or up to 10, and be very heavy or very light, truly irregular in all manner of ways!) Oh and folate needs testing too

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If your pharmacy prepared the vial two weeks before shipping it, you have already lost two weeks of your storage window before you ever opened the package

Perform and document whatever exam the clinical situation requires