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Studies have not identified direct suppression or elevation of thyroid-stimulating hormone (TSH) or free T4 levels as a primary effect of the medication

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Enhances Muscle Preservation By inhibiting the enzyme nicotinamide N-methyltransferase (NNMT), it enhances cellular energy expenditure, encouraging the body to utilize stored fat as an energy source rather than breaking down muscle tissue

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Initial relief typically appears within 2-4 weeks

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Typical doses range from 50-150 micrograms daily

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