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Since dextran is bound to the iron complex, it does not function as a plasma expander, therefore, it is not recognised as such on the Prohibited List
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With increased potency comes increased vigilance: GI side-effects may be more pronounced (nausea, slowed digestion, appetite suppression) so starting low and giving your body time is wise
Avoid vigorous shaking and instead allow the lyophilized powder to dissolve gradually to support consistent laboratory handling
Your provider should verify TSH, free T4, and free T3 levels are in target range and stable for at least 4-6 weeks before initiating a GLP-1 medication
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