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Comprehensive hormone panel testosterone, estradiol, progesterone, DHEA-S, SHBG Full thyroid panel TSH, Free T3, Free T4, Reverse T3, thyroid antibodies Metabolic and insulin markers fasting insulin, HOMA-IR, HbA1c, comprehensive metabolic panel Inflammatory markers hsCRP, homocysteine Nutrient status vitamin D, B12, magnesium, ferritin Once results are reviewed, a personalized protocol is built that may include GLP-1 therapy (semaglutide or tirzepatide), hormone optimization where indicated, nutritional guidance tailored to the patients metabolic type, and a follow-up structure that keeps the program on track

The effectiveness of Dendrobium officinale aqueous extract in alleviating symptoms of DED induced by desiccating stress was evaluated

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10.1111/nyas.15187 22 GrantB.KeanJ.ValiN.CampbellJ.MadenL.BijralP.et al (2023b)