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The compounded version is not FDA-approved as a finished product, a distinction that carries real implications for quality assurance and consistency

Side effect Insomnia or fever Frequency reported Reported by USADA What to do Stop and seek qualified medical input

Available from: Callewaert L, Michiels CW

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This leads to destabilisation of ionic gradients and subsequent water influx and membrane rupture (Ding et al

So instead, Winfrey takes a different approach: simply being glad they exist at all