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Some individuals stay on a low dose long-term to maintain their results, while others may eventually transition off the medication while leaning on the habits they built during the program

The botulinum toxin injection immobilizes a small part of the sphincter muscle for 4-6 months , allowing the wound to heal calmly and painlessly due to the improved blood flow

It is important to set realistic expectations: significant weight reduction is unlikely at this point, and that is entirely normal

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Zenaro et al., 2017)