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Excess weight and insulin resistance can disrupt hormone balance, interfere with ovulation, and affect the uterine lining, making it harder to conceive, she says

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Thyroid function testing, including thyroid-stimulating hormone (TSH) and free thyroxine (T4) levels, should be considered if cold intolerance is severe or accompanied by other hypothyroid symptoms

First, ensure your dose is actually optimizedmany patients plateau on sub-therapeutic doses because titration happened too slowly or stopped too early

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Mindful eating strategies: Eat slowly and chew thoroughly