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Fun fact: the FDA does not consider a medication commercially available if there is a shortage of that medication
J Clin Endocrinol Metab (2007) 92(12):467885.10.1210/jc.2007-0918 20 VellaAServiceFJ
doi: 10.1160/TH16-07-0586 27 CaiXSheMXuMChenHLiJChenXet al
I've never seen that
Every course starts with a medical review (sleep, stress, medications, bloodwork where useful) so the loading phase corrects a genuine need rather than following a fixed drip menu
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