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However, chronic high-dose use beyond 12 months without periodic reassessment can mask underlying deficiencies or metabolic dysfunction if you require continuous lipotropic support to maintain normal fat metabolism, the underlying cause (hypothyroidism, insulin resistance, genetic methylation impairment) should be investigated

[DOI] [PubMed] [Google Scholar] 83.Turr S et al

Follow-Up and Examinations Regular follow-up appointments are conducted to monitor the treatments effectiveness and, if necessary, to schedule additional sessions
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