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Lastly, the pelvic floor muscles should be palpated to determine tenderness, tone, strength, and ability to appropriately contract and relax

Hold for 30 seconds and repeat two to three times per side

Monitor Blood Counts: Regular monitoring of hemoglobin and B12 levels is recommended, especially for anemia

Step 3: Consider functional lab work when appropriate Depending on symptoms, it may be helpful to evaluate things like: Inflammatory markers Metabolic markers Nutrient status Thyroid patterns Hormone patterns Gut related markers The goal is not to test everything

Its about ensuring that when you publish or present your findings in 2026, you can stand behind your data with complete confidence