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Wipe both vial tops with a fresh alcohol swab and allow them to dry completely

The progressive ramp through the cycle is intentional: it allows the body to respond to the compound gradually, lets the provider assess tolerance and response before increasing the dose, and avoids the unnecessary load of starting at maximum dosing when the tissue is still in early repair phases

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Routine monitoring of thyroid function tests is not typically required unless clinical symptoms suggest thyroid dysfunction

Read it as what has been reported , not as what is known to be safe long-term