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doi: 10.1210/jendso/bvab048.2014 110 OkamuraTNakajimaYKatano-TokiAHoriguchiKMatsumotoSYoshinoSet al
Nutritional factors and autoimmunity
Step 6: Monitor your response if you decide to use it If you and your pharmacy decide the medication is likely fine, pay close attention to your body response after the next few injections
Stress, poor sleep, dehydration, and hormonal fluctuations can all override medication effects temporarily

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In some cases, eligible patients can receive the medication for free through the manufacturers patient assistance programs
