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Expect 8-12+ weeks for meaningful improvement with chronic conditions, and results may be more modest compared to acute injuries

The use of proton pump inhibitors (PPIs) has been associated with an increased risk of vitamin B12 deficiency, particular in older adults and those on long-term PPI therapy. Nutrition Reviews Duration-Dependent Risk Assessment The risk of B12 deficiency from PPIs grows with time

It did not cause the water retention or joint issues that plague growth hormone users

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a common pattern is 46 weeks on followed by an equal break, so one or two vials cover a cycle depending on the daily dose chosen

Regular checking of liver function can help detect any early signs of strain from the combination of both treatments