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Laboratory Monitoring for the Combined Protocol Baseline Labs Before Starting Before initiating this stack, a responsible protocol includes: IGF-1 (serum, fasting), comprehensive metabolic panel, HbA1c, fasting insulin, CBC, TSH, and sex-hormone panel (testosterone, SHBG, estradiol, LH, FSH)

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1 Amantadine may be used as monotherapy for up to 12 months before the initiation of L-dopa to target mild symptoms including tremor and to reduce L-dopainduced dyskinesias in later disease

Maintenance and monitoring After the clearing and reinoculation phases, most clinicians move to a maintenance regimen , which may include low-dose antifungals (botanical or conventional), intermittent probiotic pulses, dietary moderation, and periodic check-ins