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Yes, some laboratory protocols specify sterile water rather than bacteriostatic water

But right now

Initial Treatment Phase: During this time, its important to keep an eye on vitamin B12 levels and symptoms

The I-squared value was zero, meaning there was no inconsistency between the trials, every study pointed in the same direction

GLP-1 receptor agonists slow gastric emptying and significantly reduce appetite, creating a metabolic environment where traditional fasting protocols may pose safety risks without provider guidance