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These may include poor sleep, low protein intake, under-eating during weight loss, blood sugar swings, anemia, thyroid dysfunction, menopause or testosterone changes, chronic stress, inflammation, medication side effects, poor conditioning, depression, sleep apnea, liver concerns, kidney issues, or nutrient deficiencies

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Instead, they start at a dose of 0.25 mg per week and increase every four weeks, maxing out at 2.4 mg

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