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The official Joi + Blokes site states that concentration and any additional compounded ingredients, such as B12, glycine, or L-carnitine, depend on individual clinical needs as determined by the provider

Thighs and upper arms are alternatives but absorption may vary slightly

Some simply prefer a treatment strategy that does not rely entirely on taking medication indefinitely

JAMA (2013) 309(21):22409.10.1001/jama.2013.5835 15 StillCDWoodGCBenottiPPetrickATGabrielsenJStrodelWEet alPreoperative prediction of type 2 diabetes remission after Roux-en-Y gastric bypass surgery: a retrospective cohort study

PubMed,

Always dispose of used needles properly