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The 64mg pen doubles those figures, which is why it tends to appear on multi-arm or extended-duration protocols
Throw in the risk of side effects like nausea and vomiting, and people on these medications may take in even less nutrients than they need
The documented ladder is stepwise for a reason, and the safest response to a plateau is patience at the current step, not a jump
Your healthcare provider is there to help you navigate these challenges and provide the best possible care
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