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If the side effects are intolerable, they may switch to a different medication

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Avoid skipping food all day

Alongside the medication, the protocol includes foundational support: Protein intake of 0.7-1g per pound of body weight to preserve lean mass Consistent sleep hygiene to support thyroid and cortisol regulation Breathwork practices to reduce systemic stress and support parasympathetic tone Moderate resistance training to build metabolically active tissue without triggering flares These aren't optional add-ons