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Those who accept that this is a supportive tool not a magic bullet and are willing to pay for clinician supervision, quality sourcing, lab monitoring

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These actions contribute to increased satiety, reduced appetite, and improved glucose control

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This is done because the vial is a vacuum, and you need to add an equal amount of air to regulate the pressure, making it easier to draw the medication into the syringe

This includes allergy to thiamine or any other B vitamin in the formulation, or to excipients like benzyl alcohol
