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Just as the normal (conventional) ranges for TSH may not be optimal, the normal lab values for B12 and ferritin may not be in what functional practitioners (including myself) would consider an ideal range either

GIP (or glucose-dependent insulinotropic polypeptide) is another hormone in some of these medications

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Monitoring body composition with tools like bioimpedance can also help identify significant losses in muscle or bone mass, which may signal the need for intervention