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Quality Standards: What to Look For Not all supplements are transparent about their sourcing or manufacturing

The impairing effects of NEFAs on glucose-stimulated insulin secretion (GSIS) and insulin sensitivity have been demonstrated in diabetic patients, especially in obese individuals with a predisposition for T2DM (Leung et al., 2004)

This process is exacerbated by smoking , pollution , exposure to UV or ionising radiation, eating fried foods or those cooked at high temperatures , as well as engaging in high-intensity exercise (12)

If the concern is monitoring complexity, propose a coordinated plan: baseline thyroid panel before starting tirzepatide, with scheduled TSH rechecks at week 12 and week 24 sent to both prescribers