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If there is uncertainty about whether the medication remained within safe temperature limits during shipping, patients should contact their pharmacy before using the medication

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Endocrinology 148 (10), 46584666

Derrien, M., Belzer, C

Dysfunction of the vasculature, endothelium, and coagulation Since persistent inflammation and immune cell activation is present in ME/CFS (305), vascular changes and endothelial damage (306, 307) will coexist due to the interplay between inflammation and vascular alterations