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Doctors typically follow a the drugs recommended titration schedule
May increase to 1 capsule twice daily Ashwagandha: Withania somnifera ) leaf and root extract (EP35) standardized to 35% withanolides (52.5 mg)
Diabetologia 57 , 24752484 (2014)
This catches early absorption changes After each significant weight milestone (every 10-15 pounds lost): Recheck TSH and free T4 Every 3-4 months during active weight loss phase: Full thyroid panel including TSH, free T4, free T3 After weight stabilization: Return to every 6 months for the first year, then annually if stable This is more frequent than most GLP-1 prescribers recommend for non-thyroid patients
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