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If she has never gotten blood work done for all the important health markers then it's a good idea for her to get it even if she's not going to take Tirz. I started doing a full panel once a year a long time ago, well before taking any AAS or peptides and I'm very glad I did because now I have a good baseline spanning years of being natural.
It is possible to become iron and b vitamin deficient from tirz. There may be other deficiencies that are possible which I'm unaware of. I think deficiencies can be avoided if you are very smart about your diet because you will be eating less food so you need to make sure what you eat is a high quality and hits all your macros and nutrient needs.
I spend more money on vitamins, minerals, and health supplements than I do enhancement compounds.*and take a multi vit/min just in case
Same, by a long shotI spend more money on vitamins, minerals, and health supplements than I do enhancement compounds.