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It can be taken as an oral pill or injection, and its available from gray-market sellers online
In both toxicology studies, the no-observed-adverse-effect level was the highest dose evaluated
Medical nutrition therapy interventions provided by dietitians for adult overweight and obesity management: an academy of nutrition and dietetics Evidence-Based practice guideline
If you find the 45 unit mark uncomfortably small to read, the honest options are (a) use a finer-gradation syringe, or (b) follow a protocol built around the 50 mg vial, whose larger draw is more forgiving not to freehand a bigger volume from the 10 mg vial, which would silently overdose relative to the documented figure
Most people notice appetite changes within the first 2 to 4 weeks, even at the 0.25 mg initiation dose