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With neurological symptoms: 1000 g intramuscularly on alternate days should be continued for up to three weeks or until there is no further improvement

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Gauze or cotton ball 4

This pattern warrants reassessment rather than automatic dose escalation

But that peripheral-only action means it does not suppress appetite, does not change energy expenditure through central pathways, and does not produce the dramatic caloric deficits that GLP-1 agonists like semaglutide or tirzepatide create

After adding bacteriostatic water, gently swirl or roll the vial until the lyophilized powder has fully dissolved