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There are questions about thyroid effects, though research is ongoing

The dose may be increased by 500 mg per day on a weekly basis, up to a maximum of 2000 mg daily (administered as 1000 mg twice daily), or less, as limited by the highest tolerated and effective dose, especially in younger children (Table 1) [42]

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At Rewind Anti-Aging of Miami, we use bioidentical hormones molecularly identical to what your body naturally produces

doi:10.1111/andr.12351

Since we cannot verify or guarantee sterility once the product has left our controlled environment, it is impossible to sell or certify the returned units