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This depends on your individual health

Individual response varies considerably, with some participants experiencing meaningful fat loss while others showed minimal changes
Blood work for monitoring adds $100-$500 depending on panel comprehensiveness

Once I started treatment, I also got finger and toe pain that was excruciating (apparently this is your nerves waking up)
Or, take a Vitamin B12 shot only under the supervision of a doctor

Sikiric et al., 2003
