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The standard progression follows a well-established pattern designed to minimize gastrointestinal side effects while gradually achieving therapeutic levels

Many people find that staying well hydrated reduces nausea intensity and helps side effects resolve faster

Blood tests that may be ordered include complete blood count (to assess for anemia), comprehensive metabolic panel, thyroid function tests (TSH, free T4), ferritin and iron studies, vitamin D and B12 levels, and potentially hormone panels depending on clinical suspicion

Before prescribing, providers typically review your health history, may request labs, and check for contraindications