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However, unapproved high-dose or counterfeit products may contain unsafe ingredients that can strain liver or kidney function so quality control is crucial

10.1146/annurev-cellbio-100818-125142 161 SguinR.BiernackiK.RotondoR

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Patients tell us they are hoping for energy they have not felt in years, calmer moods, reduced lingering pain, and a general sense of feeling more like themselves again

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COA verification is an important distinction from grey-market or research-grade sources, which frequently contain incorrect concentrations or contaminating compounds that cannot be identified without independent testing