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Before starting therapy , healthcare providers should conduct a comprehensive assessment including: Cardiovascular history : Document any history of heart disease, arrhythmias, heart failure, or stroke Baseline vital signs : Measure heart rate, blood pressure, and weight Medication review : Identify potential interactions, particularly with antihypertensives, diuretics, and anticoagulants Laboratory tests : Check renal function, liver enzymes, lipid profile, and HbA1c (if diabetic) ECG : Consider baseline electrocardiogram for patients with known cardiac disease or significant risk factors, though this is not routinely required for all patients During treatment , regular follow-up is essential

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Some practitioners may recommend B12 shots up to two times per week to enhance energy levels and fat metabolism [2]

If you're looking for more comprehensive immune support, expect to pay between $199-$399 for most formulations

Front Endocrinol (Lausanne) (2019) 10:811