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On stimulant medication, adding an extra 8 to 12 oz beyond the ACSM baseline is a practical buffer, particularly in warm environments or during sessions lasting longer than 60 minutes
Thyroid function tests (TSH, free T4) should be checked at baseline, 6-8 weeks after achieving maintenance dose of the weight loss medication, and every 3-6 months during active weight loss to ensure appropriate thyroid hormone replacement
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