A standard weight loss workup at our clinic includes: Fasting insulin and HOMA-IR, a direct measure of insulin resistance Hemoglobin A1C A full thyroid panel, including Free T3, Free T4, and Reverse T3 (not just TSH) Comprehensive sex hormone panels for both men and women Cortisol patterns Inflammatory markers Advanced lipid particle analysis A DEXA body composition scan to precisely measure fat mass, lean mass, visceral fat, and bone mineral density That diagnostic picture determines the protocol
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Male fertility In adult men, hCG is given as an injection to treat hypogonadism, a condition that causes the body to have trouble producing the male sex hormone testosterone
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The pharmacist in me is thinking about real-world access and adherence