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Gastrointestinal side effects may increase dehydration risk in hot weather, requiring careful fluid management
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Naturally many patients with leptin resistance find that by reducing their calorie count they are able to maintain their current weight
Blood work to request If energy is not improving on the expected timeline, these tests identify the most common correctable causes: Complete blood count (screens for anemia) Ferritin (iron stores, the best indicator of iron status) Vitamin B12 25-hydroxyvitamin D TSH and free T4 (thyroid function) Comprehensive metabolic panel (electrolytes, kidney, liver) Magnesium (often not included in standard panels) Fasting glucose and HbA1c These are inexpensive, widely available tests
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