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Sterile water lacks preservative - bacteria can grow between uses

The lack of appetite effects means there is no rebound hunger concern when discontinuing, and the absence of hormonal suppression means no post-cycle therapy is required

What you see online may look like a protocol, but those very specific instructions are internet consensusnot medical consensus

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In the STEP and SURMOUNT trials, participants were not required to abstain from alcohol, and average weight loss still reached 14.9% and 20.9% respectively