Four specific conditions qualify for Tier 3 (BMI 27 or higher): (1) prediabetes per American Diabetes Association criteria (typically A1c 5.7 to 6.4 percent, fasting glucose 100 to 125, or 2-hour oral glucose tolerance test 140 to 199), (2) previous heart attack (myocardial infarction), (3) previous stroke, and (4) symptomatic peripheral artery disease
Vitamin B12 is the main exception, as it can be stored in the liver for years
For active refrigeration (refrigerated medications) When your medication must stay refrigerated between 36F46F (2C8C) while traveling, you need a cooler specifically engineered to maintain refrigeration not a lunch bag, not an insulated pouch
Testosterone addresses the anabolic preservation problem
However, if reactions become increasingly severe, widespread, or are accompanied by systemic symptoms, medical review is necessary
[DOI] [PubMed] [Google Scholar] Chopra A, Saluja M, Tillu G