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Because it is absorbed through the subcutaneous tissue (the fat layer under the skin) and enters the bloodstream directly, its absorption is not affected by stomach acid or the presence of pantoprazole

However, if you are seeing results and are pleased with your progress, you can stay on the same dose for as long as you want

The appetite suppression lasts as long as the medication is active in your system

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This makes compounding pharmacy potentially helpful in implementing ketotifen-based MCAS protocols