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We need to be honest about that distinction

For example, a second IM antibiotic dose administered later in the same day

Cycle breaks become mandatory if you have been on protocol for 12+ weeks continuously or if response has dropped significantly despite dose adjustment

For some the benefits are outweighed by the potential side effects: elevated hematocrit levels, estrogen imbalances, and perhaps most alarmingly, shrinking testicles and decreased fertility markers

It helps to convert fat and protein into energy for the body, and B-12 helps in the formation of red blood cells

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