Avoiding dark liquors and cheap alcohol reduces your toxic load
Definitely helped with weight loss and energy too
The British National Formulary (BNF) provides full clinical information on hydroxocobalamin
The following adverse effects were reported in patients receiving semaglutide injection or oral tablets across all clinical trials and at incidences higher than with placebo: nausea (11% to 44%), vomiting (5% to 24%), diarrhea (8.5% to 30%), abdominal pain (5.7% to 20%), abdominal distention (2% to 7%), constipation (3.1% to 24%), dyspepsia (0.6% to 9%), decreased appetite (6% to 9%), eructation (0.6% to 7%), flatulence (0.4% to 6%), gastroesophageal reflux disease (1.5% to 5%), gastroenteritis (4% to 6%), and gastritis (0.4% to 4%)
Some protocols use an extended break matching the cycle length (8 weeks on, 8 weeks off)
You may need to push and pull the plunger back and forth a couple of times to ensure proper filling