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Lifestyle interventions including adequate protein intake, resistance exercise, sleep optimisation, and alcohol reduction are evidence-based complements to weight-loss pharmacotherapy

If you must switch, allow a 48-hour washout period after the last IM dose before beginning SubQ administration, and document the transition as a protocol deviation

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Reduced glutathione availability has been associated with increased thyroid peroxidase (TPO) antibody levels and Hashimotos thyroiditis progression

Week 1: 6 units (0.3 mg) daily Week 2: 8 units (0.4 mg) daily Week 3: 10 units (0.5 mg) daily Week 4: 12 units (0.6 mg) daily During this phase, most patients notice improved sleep and mild energy increases