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A general protocol: Duration: 1216 weeks Breaks: 48 weeks off between cycles PCT Needed

In fact, gastroparesis is not mentioned at all in the label. Ozempic Gastroparesis Side Effects Gastroparesis is a painful condition that impacts the stomach muscles and prevents proper stomach emptying

However, some imitations contain impurities and prohibited substances

doi:10.1038/nature01889

As for antibiotics: Being previously a quite healthy person, I haven't needed them much prior to B12 deficiency, but because you are more susceptible to infections and less able to heal, these became an inevitable answer sometimes