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Never shake or vigorously agitate the vial under any circumstances
This combination is often marketed with claims related to weight loss, increased energy, and improved liver function
Sjogren, K
J Clin Endocrinol Metab 2001
Several factors influence the patients level of adherence and can be distinguished as social and economic factors, patient-related factors (health beliefs, health literacy), therapy-related factors (complexity of the treatment, adverse events), presence of comorbidities (neurological/psychiatric or of different origins), and factors related to the healthcare system (doctor-patient relationship, difficulty in obtaining follow-up visits)
