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Comprehensive evaluation should include complete thyroid panel (not just TSH), fasting insulin and HOMA-IR for insulin resistance assessment, cortisol testing for adrenal dysfunction, sex hormone panel (testosterone, estrogen, progesterone), sleep study if sleep apnea is suspected, medication review for weight-promoting drugs, and psychological evaluation for eating disorders or food addiction
References Ewertz M, Jensen MB, Gunnarsdttir K, et al
Rapid weight loss is not recommended and should not exceed more than 1 lb a week while breastfeeding
"Meta-analysis of methylcobalamin alone and in combination with prostaglandin E1 in the treatment of diabetic peripheral neuropathy"
Its safe for diabetics, lactating moms, and those managing PCOS, ensuring everyone can enjoy its benefits without compromise
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