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Each therapy incorporates a distinctive combination of these approved nutrients and drugs (where indicated), custom-compounded for individuals by a licensed pharmacy under the direction of a licensed doctor

Investigations are guided by clinical suspicion rather than routine panels: for example, thyroid function tests and ferritin may be checked if symptoms suggest deficiency or thyroid disease, while an androgen profile may be appropriate in women presenting with menstrual irregularity, hirsutism, or acne

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