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Extremely sensitive MCAS patients should always start with a very low dose to ensure they do not have a rare hypersensitivity to the amino acid itself or the vegetarian capsule ingredients

A provider will review your prior dose, how long you used it, and your response to decide whether you can continue at a comparable dose or should restart the standard titration schedule

Free T4 and free T3 are listed as follow-ups if TSH shifts or if the patient reports fatigue, cold intolerance or mood changes

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Microdosing semaglutide could be a good option for individuals who are sensitive to the side effects of higher doses or those who are looking for gentle, gradual weight loss