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Blood levels take about four weeks to settle after a step. The stomach-slowing effect that drives early nausea builds and then adapts over roughly the same window. And gut symptoms cluster at the first dose and at each increase, then ease with time on a held dose. The label waits for the last step to settle before adding the next
If it's not, you may only need an injection every 2-3 months for life
Those same label references describe sterile water as a single-entry product
Even when refrigerated, it lacks an active agent to inhibit bacterial growth
& Kang, S
That single distinction explains why people handle the two waters differently after opening
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