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The grade was determined by a five-point bipolar scale, ranging from "none" (0 points) to "excessive" (4 points)

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Heise T, De Vries JH, Coskun T, Urva S, Li J, Pratt EJ, Thomas MK, Mather KJ, Dunn JP, Haupt A, et al

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It is purely a glucose-lowering hormone replacement

If the provider has no structured plan for monitoring your progress, adjusting your dose, or managing side effects like sulfur burps , menstrual changes , or leg cramps , you are essentially self-medicating with a prescription drug