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If your TSH is sitting at 3.5 and youre symptomatic, optimizing to 1.02.0 with your endocrinologist before adding GLP-1 treatment gives the medication a much better metabolic environment to work in

The combination is more powerful than either alone

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Clin Lab (2013) 59:78

If youve been struggling with fatigue, low stomach acid, carbohydrate intolerance, low blood pressure, and symptoms related to your adrenals, you may have a thiamine deficiency and may benefit from extra B1 intake

Statistical Analysis Sample size calculations were performed at the beginning of this exploratory trial ( n = 40)