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Referral pathways may include endocrinology, diabetes self-management education and support (DSMES), registered dietitians, and bariatric medicine specialists as appropriate for complex cases or when treatment goals are not met with standard approaches

The approved formulation is administered as a subcutaneous autoinjector delivering 1.75 mg, taken as needed approximately 45 minutes before anticipated sexual activity, with recommendations not to exceed one dose in 24 hours or eight doses per month

Tonstad S, Nathan E, Oda K, Fraser G (2013) Vegan diets and hypothyroidism

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