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This gives enough buffer for shipping delays while ensuring you start the new vial as close to its compounding date as possible, maximizing usable shelf life

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Use targeted labs only when appropriate If your intake has been very restricted, you have heavy menstrual bleeding, symptoms of anemia or thyroid disease, or shedding is severe or prolonged, your clinician may check CBC/ferritin and sometimes TSH or vitamin D to identify correctable deficiencies