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If reflux is already an issue for you on your medication, talk to your provider before starting.*

Vitamin D people who suffer from Hashimotos are more likely to be deficient in Vitamin D, and deficiency can harm thyroid function

And, as we know, when you start managing your insulin, so many frustrating PCOS symptoms ease, too

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Goal: Maintain testicular volume and function during TRT Approach: HCG 500 IU subcutaneously every other day (3x weekly) Begin same time as testosterone therapy Continue for duration of TRT Monitoring: Baseline testosterone, estradiol, LH, FSH Recheck at 6 weeks, then quarterly Adjust based on estrogen response Expected results: Maintained testicular size Preserved fertility potential Possible slight testosterone boost above TRT alone Protocol for fertility restoration on TRT Men on TRT who want to conceive face a decision

However, the metabolic imbalance caused by TMAO interferes with energy supply through multiple mechanisms