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Any significant elevation in these markers should prompt clinical correlation and consideration of alternative causes, including medication effects, disease progression, or new hepatic pathology

Consider HRT For many women, hormone replacement therapy (HRT) can significantly improve sleep by addressing the root cause: declining oestrogen and progesterone

Studies published in metabolic journals show that people with sufficient vitamin D (above 40 ng/mL) experience faster initial weight reduction and better appetite suppression consistency compared to those who are deficient

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At minimum, screening should include depression and suicidal ideation

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