We dont want to just jump to the conclusion that the problem is Graves, especially because Graves is not nearly as common as Hashimotos
(2019) www.sciencedaily.com From the article: Obesity is very common in men with testosterone deficiency (hypogonadism), said lead study author Karim Haider, M.D., a urologist and andrologist in private practice in Bremerhaven, Germany
EBioMedicine 4 , 162169 (2016)
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If you are nearing the expiration date and the pen has also spent time at room temperature, the compound risk of degradation increases
Assessment of Fracture Risk and its Application to Screening for Postmenopausal Osteoporosis: Technical Report Series 843