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It is not derived from a single source: Before starting (baseline labs): TSH, free T3, free T4 (thyroid axis, because ashwagandha raises thyroid hormones) Serum copper and serum zinc (to document pre-existing status before Cu2+ peptide use) Total testosterone and free testosterone (if TRT or hormonal optimization is part of the regimen) Morning serum cortisol (to establish HPA-axis baseline before dual cortisol-lowering begins) Complete metabolic panel (general safety) At 8 weeks: Repeat TSH, free T3, free T4 Repeat testosterone panel if relevant Repeat morning cortisol At 6 months: Full repeat of baseline panel Clinical symptom review: energy, sleep quality, recovery speed, libido, and signs of hyperthyroidism (palpitations, heat intolerance, tremor) Dose adjustments should be guided by lab trends, not by arbitrary time intervals

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Vitamin B12 in Leber hereditary optic neuropathy mutation carriers