Generally, 8-10 sessions are required to see the desired results
This hypothetical adverse effect, although not clinically reported until now, is analogous to the hypothalamic-pituitary axis suppression seen with long-term use of systemic corticosteroids Exacerbation of Helicobacter pylori associated peptic ulcers: Helicobacter pylori is known to feed on macrophages and neutrophils abundant at the site of inflammation caused by the ulcer
People, who have had bariatric surgery procedures such as sleeve gastrectomy, Roux-en-y gastric bypass, duodenal switch, one anastomosis (mini) gastric bypass, single anastomosis duodenal ileal switch (SADIS), have reduced absorption of vitamin B12 and increased risk of developing vitamin B12 deficiency
The 2025 IV pilot (Lee & Burgess, n=2) found no changes in cardiac, hepatic, renal, thyroid, or glucose markers: but this was n=2 over 2 days, not sustained community-use dosing
Inject Sunday through Thursday, rest Friday and Saturday